ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of June 24, 2024 No. 30

About introduction of amendments to the order of the Minister of Health of the Republic of Kazakhstan of March 24, 2022 No. KR-DSM-27 "About approval of the Standard of delivery of health care in stationary conditions in the Republic of Kazakhstan"

I ORDER:

1. Bring in the order of the Minister of Health of the Republic of Kazakhstan of March 24, 2022 No. KR-DSM-27 "About approval of the Standard of delivery of health care in stationary conditions in the Republic of Kazakhstan" (it is registered in the Register of state registration of regulatory legal acts at No. 27218) the following changes:

state heading in the following edition:

"About approval of the Standard of the organization of delivery of health care in stationary conditions in the Republic of Kazakhstan";

state preamble in the following edition:

"According to the subitem 32) of article 7 of the Code of the Republic of Kazakhstan "About health of the people and health care system", I ORDER:";

state Item 1 in the following edition:

"1. Approve the Standard of the organization of delivery of health care in stationary conditions in the Republic of Kazakhstan according to appendix 1 to this order.";

The standard of delivery of health care in stationary conditions in the Republic of Kazakhstan approved by appendix 1 to the specified order to be reworded as follows according to appendix to this order.

2. To provide to department of the organization of medical care of the Ministry of Health of the Republic of Kazakhstan in the procedure established by the legislation of the Republic of Kazakhstan:

1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

2) placement of this order on Internet resource of the Ministry of Health of the Republic of Kazakhstan after its official publication;

3) within ten working days after state registration of this order in the Ministry of Justice of the Republic of Kazakhstan submission to Legal department of the Ministry of Health of the Republic of Kazakhstan of data on execution of the actions provided by subitems 1) and 2) of this Item.

3. To impose control of execution of this order on the supervising vice-Minister of Health of the Republic of Kazakhstan.

4. This order becomes effective after ten calendar days after day of its first official publication.

Appendix

to the Order of the Minister of Health of the Republic of Kazakhstan of June 24, 2024 No. 30

Appendix 1

to the Order of the Minister of Health of the Republic of Kazakhstan of March 24, 2022 No. KR - DSM-27

The standard of the organization of delivery of health care in stationary conditions in the Republic of Kazakhstan

Chapter 1. General provisions

1. This Standard of the organization of delivery of health care in stationary conditions in the Republic of Kazakhstan (further – the Standard) is developed according to the subitem 32) of article 7 of the Code of the Republic of Kazakhstan "About health of the people and health care system" (further – the Code) and establishes general requirements to the organization of delivery of health care in stationary conditions in the Republic of Kazakhstan.

2. The terms and determinations used in this Standard:

1) information and communication technologies – set of methods of work with electronic information resources and the methods of information exchange performed using the hardware and software and network of telecommunications;

2) fund of social medical insurance (further – FSMS) – the non-profit organization making accumulation of assignments and fees, and also performing purchase and fee of the subjects of health care providing medical care in amounts and on conditions which are provided by the agreement of purchase of medical services, and other functions determined by the laws of the Republic of Kazakhstan;

3) the scientific organization in the field of health care (further – the scientific organization) – the national center, scientific center or research institution performing scientific, scientific and technical and innovative activities in the field of health care and also medical, pharmaceutical and (or) educational activities;

4) the regional perspective plan of development of infrastructure of health care – the long-term plan of development of infrastructure of the region reflecting information on the existing network of the organizations of health care, the planned restructuring (opening, consolidation, closing, reshaping), and also information on the need for new health care facilities and planning of investments;

5) authorized body in the field of health care (further – authorized body) – the central executive body performing management and cross-industry coordination in the field of protection of public health of the Republic of Kazakhstan, medical and pharmaceutical science, medical and pharmaceutical education, sanitary and epidemiologic wellbeing of the population, drug circulation and medical products, qualities of rendering medical services (help);

6) the organization of health care – the legal entity performing activities in the field of health care;

7) the attending physician – the doctor providing medical care to the patient during its observation and treatment in the medical organization;

8) the portal of Bureau of hospitalization (further – the Portal) - single system of electronic registration, accounting, processing and storage of the directions of patients for planned hospitalization in hospital within the guaranteed amount of free medical care;

9) high-technology medical care – part of the specialized medical care provided by profile specialists in case of the diseases requiring application of innovative and (or) unique methods of diagnostics and treatment with scientifically proved efficiency and safety and the technologies developed on the basis of achievements of medical science and allied industries of science and technology;

10) high-technology medical service (further – VTMU) – the service rendered by profile specialists in case of the diseases requiring use of innovative, resource-intensive and (or) unique methods of diagnostics and treatment;

11) the clinical protocol – scientifically proved recommendations about prevention, diagnostics, treatment, medical rehabilitation and palliative medical care in case of certain disease or the patient's condition;

12) consultation – research of person for the purpose of establishment of the diagnosis, determination of tactics of treatment and the forecast of disease with participation at least three doctors;

13) specialized medical care – the medical care provided by profile specialists in case of the diseases requiring ad hoc methods of diagnostics, treatment, medical rehabilitation including with use of means of remote medical services;

14) medical information system – the information system providing conducting processes of subjects of health care in electronic format;

15) the secondary level of delivery of health care – the level of delivery of health care by the profile specialists performing specialized medical care in out-patient, hospital-replacing and stationary conditions, including on the direction of the specialists providing medical care at primary level;

16) the tertiary level of delivery of health care – the level of delivery of health care by the profile specialists performing specialized medical care using high-technology medical services in out-patient, hospital-replacing and stationary conditions, including on the direction of specialists of primary and secondary levels of delivery of health care;

17) primary health care (further – PHC) – the place of the first access to the medical care oriented to needs of the population, including prevention, diagnostics, treatment of the diseases and conditions rendered at the level of the person, family and society;

18) the medical organization – the organization of health care which main activities is delivery of health care;

19) system of compulsory social medical insurance (further – the OSMS system) – set of the regulations and rules established by the state, governing the relations between participants of system of compulsory social medical insurance;

20) the patient – the physical person which is (being) the consumer of medical services irrespective of availability or absence at it of the disease or condition requiring delivery of health care;

21) medical care in stationary conditions – the medical care providing the round-the-clock medical observation, treatment, leaving, and also provisions of bed with food including in case of the cases of therapy and surgery of "one day" providing the round-the-clock observation within the first days after initiation of treatment;

22) the guaranteed amount of free medical care (further – GOBMP) – amount of the medical care provided at the expense of budgetary funds;

23) the informed consent – the procedure of written voluntary confirmation by person of the consent to receipt of medical care and (or) participation in specific research after receipt of information on all significant for adoption of the decision by it aspects of medical care and (or) research;

24) the subject of digital health care – the physical persons and legal entities, state bodies performing activities or entering the public relations in the field of digital health care.

3. Medical care is provided in stationary conditions having licenses for implementation of medical activities:

1) the state organizations of health care and (or) their structural divisions providing medical care in stationary conditions at the district, city and regional levels according to the order of the acting minister of health care of the Republic of Kazakhstan of October 15, 2020 No. KR DSM - 133/2020 "About approval of the state standard rate of network of the organizations of health care" (it is registered in the Register of state registration of regulatory legal acts at No. 21452);

2) the scientific organizations at the republican level;

3) organizations of health care of private pattern of ownership.

The quantity of beds by profiles and the medical organizations providing medical care within GOBMP and the OSMS system at the district, city and regional levels is determined by local authorities of public administration by health care of areas, cities of republican value and the capital (further – managements of health care) according to the order of the Minister of Health of the Republic of Kazakhstan of November 6, 2020 No. KR DSM-186/2020 "About approval of rules of accounting of the subjects of health care providing medical care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance" (it is registered in the Register of state registration of regulatory legal acts at No. 21619). Annually taking into account results of monitoring for previous year and the regional perspective plan of development of infrastructure of health care adjustment of bed fund the forthcoming year is carried out.

4. The main objectives and activities of the organizations of health care providing medical care in stationary conditions (further - hospital), are:

1) delivery of health care, providing the round-the-clock medical observation, treatment, leaving, and also provisions of bed with food, including in case of the cases of therapy and surgery of "one day" providing the round-the-clock observation within the first days after initiation of treatment;

2) rendering specialized medical care to patients in stationary conditions using modern technologies and methods of diagnostics and treatment, including VTMU based on the principles of evidential medicine with respect for succession at all stages of delivery of health care.

5. Recommended states of workers and equipment are established by medical products of the organizations of health care providing medical care in stationary conditions according to standards in the field of health care.

6. Medical care is provided in stationary conditions:

1) within GOBMP (according to the order of the Government of the Republic of Kazakhstan of October 16, 2020 No. 672 "About approval of the list of the guaranteed amount of free medical care and recognition voided some decisions of the Government of the Republic of Kazakhstan");

2) in the OSMS system (according to the order of the Government of the Republic of Kazakhstan of June 20, 2019 No. 421 "About approval of the list of medical care in system of compulsory social medical insurance");

3) on paid basis according to the order of the Minister of Health of the Republic of Kazakhstan of October 29, 2020 No. KR DSM-170/2020 "About approval of rules of rendering paid services by subjects of health care and standard form of the agreement on provision of paid medical services (help)" (it is registered in the Register of state registration of regulatory legal acts at No. 21559);

4) within voluntary medical insurance according to article 201 of the Code;

5) within imputed medical insurance according to the order of the Minister of Health of the Republic of Kazakhstan of June 7, 2023 No. 111 "About approval of the standard agreement of imputed medical insurance and the minimum list of medical care in case of imputed medical insurance" (it is registered in the Register of state registration of regulatory legal acts at No. 32732).

7. Medical care in stationary conditions is provided to the patients needing the round-the-clock medical observation in the emergency and planned forms at the secondary and tertiary levels of delivery of health care.

Acceptance and registration of patients for receipt of medical care in stationary conditions is performed:

in planned form in working hours, according to the approved working schedule of the organization, within 60 (sixty) minutes from the moment of the address;

in the emergency form round the clock.

Medical care in stationary conditions at the tertiary level appears the organizations of health care having the conclusion about compliance to provision of high-technology medical care according to the order of the Minister of Health of the Republic of Kazakhstan of December 8, 2020 No. KR DSM-238/2020 "About approval of rules of rendering specialized, including high-technology medical care" (further – the order No. KR DSM-238/2020) (it is registered in the Register of state registration of regulatory legal acts at No. 21746).

8. Medical care in stationary conditions within GOBMP and (or) in the OSMS system is performed in compliance:

with the list of diseases by codes of the international classification of the diseases (further – MKB) the 10th review which are subject to treatment in hospital with the round-the-clock observation according to appendix 1 to this Standard;

with the list of transactions and manipulations by the MKB-9, codes for treatment in hospital with the round-the-clock observation according to appendix 2 to this Standard.

9. Medical care is provided in stationary conditions after receipt of the informed consent of the patient or his legal representative.

The informed consent of the patient is drawn up according to the loose leaf 3 to the medical record of the stationary patient in the form approved by the order of the acting minister of health care of the Republic of Kazakhstan of October 30, 2020 No. KR-DSM-175/2020 "About approval of forms of accounting documentation in the field of health care and also instructions for their filling" (it is registered in the Register of state registration of regulatory legal acts at No. 21579).

10. For the purpose of rational use of medicines in hospitals offices and (or) departments of clinical pharmacology according to the order of the Minister of Health of the Republic of Kazakhstan of April 19, 2023 No. 75 "About approval of the standard of the organization of delivery of health care for clinical pharmacology in the Republic of Kazakhstan" will be organized (it is registered in the Register of state registration of regulatory legal acts at No. 32338).

11. In case of detection of signs of the use of psychoactive agents in the medical record record with the subsequent intake of biological materials on determination of content of psychoactive agent with entering of results in the medical record is drawn up.

12. In the place of delivery of health care the patient obtains exhaustive information on the state of health, including:

data on possible risk and benefits of the offered and alternative methods of treatment;

data on possible effects of refusal of treatment;

information on the diagnosis, the forecast and the plan of medical actions in form, available to the patient;

explanations about the reasons of the statement and (or) transfer in other organization of health care.

13. The doctor inspects the patient in day of receipt in hospital, appoints medical and diagnostic actions according to clinical protocols.

14. The clinical diagnosis is established together with the manager of department no later than three working days from the moment of hospitalization of the patient. In case of hospitalization in the organization of health care giving the medico-public assistance to persons with mental, behavioural disturbances (diseases), the clinical diagnosis it is established no later than 10 (ten) working days.

In the presence of indications for conducting additional diagnostic testings and consultations in the medical record the diagnosis delay reason is specified.

To the patients expecting results of researches with long terms of accomplishment (more than 10 days), the clinical diagnosis is established after receipt of results of researches.

In case of difficulties in diagnosis, inefficiency of the carried-out treatment, the manager of department and (or) the deputy manager of hospital by medical part organizes consultation, including remotely according to the order of the Minister of Health of the Republic of Kazakhstan of February 1, 2021 No. KR DSM-12 "About approval of rules of the organization, provision and payment of remote medical services" (it is registered in the Register of state registration of regulatory legal acts at No. 22151) (further – the order No. KR DSM-12).

In evening, night time, in days off and holidays the consultation is organized by the responsible doctor on duty on hospital.

In day of establishment of the clinical diagnosis entry in the medical record is drawn up.

15. The patients who are in hospital are daily inspected by the attending physician. Results of survey are entered in the medical record. Records reflect specific changes in the patient's condition, reasons for correction of inspection and treatment, assessment and interpretation of the received results, efficiency of the carried-out treatment.

In case of serious conditions the patient is inspected each 3 hours, according to indications is more often, entry in the medical record is drawn up with indication of time of survey and rendering emergency aid on hours and minutes.

In evening and night time, days off and holidays survey is performed by the doctor on duty. Results of survey and appointment of the doctor on duty are drawn up in the medical record.

In case of deterioration in condition of the patient the doctor on duty adjusts treatment, notifies the manager of department and (or) the attending physician and approves modification of appointments.

16. The manager of department inspects the patient in day of receipt (except for days off and holidays), in subsequent according to indications and before the statement. The manager of department performs inspection of heavy patients daily in the working days. Results of survey with recommendations of the manager of department are entered in the medical record.

17. In case of treatment of children in the conditions of hospital aged up to five years, and also the sick children of advanced age needing according to the conclusion of doctors additional leaving, mother (father) or the other person who is directly performing child care is given opportunity to be with it in the medical organization and the sheet or the certificate of temporary disability according to the order of the Minister of Health of the Republic of Kazakhstan of November 18, 2020 is issued to No. KR DSM-198/2020 "About approval of rules of conducting examination of temporary disability, and also issue of leaf or certificate of temporary disability" (it is registered in the Register of state registration of regulatory legal acts at No. 21660).

The nursing mother of the child up to one year of life is provided with free food in the medical organization for stay for child care.

18. As a part of hospitals and (or) multi-profile children's hospitals conditions for games, rest are created to patients of children's departments.

In case of long stay of children of school age conditions for life-long education according to the joint order of the Minister of Health of the Republic of Kazakhstan of December 21, 2020 No. KR DSM-296/2020 and the acting minister of science and education of the Republic of Kazakhstan of December 21, 2020 are created to No. 533 "About approval of Rules of life-long education of children of school age during obtaining in stationary conditions of specialized medical care, medical rehabilitation, and also palliative medical care" (it is registered in the Register of state registration of regulatory legal acts at No. 21864).

19. Criteria of the statement from hospital are:

1) the commonly accepted result of treatment (recovery, improvement, without changes, death, transfer in other medical organization);

2) the written application of the patient and (or) his legal representative about refusal of treatment in the absence of direct danger to life of the patient or to people around.

Transfer is made in case of detection of the disease requiring treatment in other medical organization for profile, including the scientific organization of health care in coordination with the organization of health care for the place of transfer.

Transportation in case of transfer is performed on hospital motor transport of the organization from where the patient accompanied by the health worker is translated. In the absence of hospital motor transport transportation is performed according to the order of the Minister of Health of the Republic of Kazakhstan of November 30, 2020 No. KR DSM-225/2020 "About approval of rules of rendering emergency medical service, including with involvement of medical aircraft" (it is registered in the Register of state registration of regulatory legal acts at No. 21713) (further – the order No. KR DSM-225/2020).

20. In day of the statement the statement from the medical record with data on results of the conducted examination, treatments and recommendations about further observation is issued to the patient and (or) the legal representative.

Data on the statement from hospital are entered in medical information systems within a day, with indication of the actual time of the statement.

Chapter 2. Procedure for the organization of delivery of health care in stationary conditions

Paragraph 1. Procedure for the organization of delivery of health care in stationary conditions in the emergency form

21. Medical care in the emergency form is provided in stationary conditions:

1) in case of the self-address;

2) on delivery patient:

crews of the station of emergency medical service and (or) departments of emergency medical service of the PHC organization;

mobile crew of medical aircraft according to the order No. KR DSM-225/2020;

in cases of delivery of patients by the staff of bodies in the field of civil protection, law enforcement agencies and (or) citizens.

22. In reception of hospital medical sorting of the patients arriving urgently according to the order of the Minister of Health of the Republic of Kazakhstan of April 2, 2021 No. KR DSM - 27 "About approval of the Standard of the organization of rendering the emergency medical care in receptions of the medical organizations providing medical care in stationary conditions in the Republic of Kazakhstan" is performed (it is registered in the Register of state registration of regulatory legal acts at No. 22493) (further – the order No. KR DSM - 27).

23. On sorting completion the emergency medical care is provided to patients of the first group (red zone) in chamber and (or) the block of intensive therapy of reception, in case of the conditions requiring the emergency surgery in the operating room.

After stabilization of condition and (or) transaction the patient is transferred to profile department and (or) to department of anesthesiology, resuscitation and intensive therapy of the organization of health care.

24. Patients of the second group (yellow zone) accompanied by the health worker are hospitalized in diagnostic chamber. According to indications for dynamic observation the patient is in diagnostic chamber till 24 o'clock. To patients the complete amount of necessary medical and diagnostic actions (therapy and surgery of "one day") is carried out.

After diagnosis the patient according to indications is transferred to profile department and (or) transferred to other hospital for further treatment. In the absence of indications to hospitalization the certificate of refusal in the emergency hospitalization (further – the certificate of refusal) in form according to appendix 3 to this Standard is issued to the patient.

25. Patients of the third group (green zone) whose condition does not pose direct threat for life and health and does not require hospitalization, go to viewing office of reception. In viewing office the necessary amount of medical and diagnostic actions before establishment of the diagnosis is carried out.

The doctor of reception and (or) the doctor on duty issues to the patient the certificate of refusal in hospitalization.

26. The nurse of reception transfers asset to the PHC organization for the place of attachment of not hospitalized patient by phone and (or) to e-mail within 3 (three) working days from the moment of the address. In the absence of attachment the asset is transferred to the PHC organization for the residence.

27. Data on the medical services rendered to not hospitalized patients the used medicines and (or) medical products are introduced in register in form, according to appendix 4 to this Standard.

28. The patients brought by mobile crew of medical aircraft are hospitalized in profile department according to the prior notice of hospital.

29. Registration of patients in case of the emergency hospitalization in the Portal is performed by specialists of reception of hospital in the place of hospitalization. In the Portal data on not hospitalized patients who addressed to reception, for accounting of refusals in hospitalization are also registered.

Paragraph 2. Procedure for the organization of delivery of health care in stationary conditions in planned form

30. Delivery of health care in stationary conditions in planned form within GOBMP and (or) in the OSMS system is performed in the direction of the PHC organization and (or) organization of health care.

Hospitalization in military-medical organizations of the military personnel, members of families of contract servicemen, and also persons dismissed from military service on reaching age limit of condition on military service, for health reasons, got disease in connection with fulfillment of duties of military service, and also having period of service twenty and more years is performed according to the order of the Minister of Defence of the Republic of Kazakhstan of December 22, 2020 No. 723 "About approval of rules of military-medical (medical) providing in Armed Forces of the Republic of Kazakhstan" (it is registered in the Register of state registration of regulatory legal acts at No. 21873).

Hospitalization in military-medical (medical) divisions of law-enforcement bodies of law enforcement officers, military personnel of law-enforcement bodies, members of their families and pensioners of law enforcement agencies is performed according to the order of the Minister of Internal Affairs of the Republic of Kazakhstan of November 16, 2020 No. 781 "About approval of Rules of military-medical (medical) providing in military-medical (medical) divisions of law-enforcement bodies of the Republic of Kazakhstan" (it is registered in the Register of state registration of regulatory legal acts at No. 21664).

The direction of patients for receipt of medical care in stationary conditions at the tertiary level is performed according to the order No. KR DSM-238/2020.

31. The hospital management independently makes the decision on planned hospitalization in the presence of medical indications (within 15% of amount of planned hospitalization for the scientific organizations, 10% for the organizations of health care of district, city, regional levels) for the following national groups:

children up to eighteen years,

pregnant women,

participants of the Great Patriotic War and persons equated to them,

persons with disability,

mothers having many children,

pensioners.

32. Access to the Portal for the organization of planned hospitalization the organizations of health care which signed the contract for delivery of health care within GOBMP and (or) in the OSMS system according to the order of the Minister of Health of the Republic of Kazakhstan of December 8, 2020 have No. KR DSM-242/2020 "About approval of rules of purchase of services at subjects of health care in delivery of health care within the guaranteed amount of free medical care and (or) in system of compulsory social medical insurance" (it is registered in the Register of state registration of regulatory legal acts at No. 21744).

The responsible specialist for work with the Portal is appointed the head of the PHC organization and hospital.

33. In the presence of indications to planned hospitalization the directing medical organization conducts kliniko-diagnostic testings (further – researches) (laboratory, tool and functional, consultations of profile specialists) according to appendix 5 to this Standard.

Repeated researches in hospital with the round-the-clock observation are conducted on medical indications for dynamic assessment of condition of the patient, including using information and communication technologies. In case of the direction of images, results of researches in other medical organization, reading and (or) disaggregation of results of researches is carried out including using remote technologies according to the order No. KR DSM-12.

34. Date of the planned hospitalization taking into account the free choice by the patient of hospital is determined:

1) the specialist of hospital, in the direction of the PHC organization and (or) other organization of health care;

2) automatically in the direction of the PHC organization and (or) other organization of health care;

3) the specialist of reception of hospital in the place of hospitalization in case of the independent address of patients and adoption by the head of the decision on hospitalization of the patient.

35. Date of planned hospitalization is determined by the specialist of hospital in the direction of the PHC organization and (or) other organization of health care in case of hospitalization:

1) in the organization of health care:

providing medical care in stationary conditions at the district level;

providing medical care to children;

performing organ and tissue transplantation;

for disabled people of the Great Patriotic War and persons equated to them;

providing medical care in the field of mental health (the centers of mental health);

giving help in area of ftiziopulmonologiya (the centers of ftiziopulmonologiya);

infectious diseases hospitals and (or) infectious departments under multi-profile hospitals;

organizations (department) of recovery treatment and medical rehabilitation;

hospitals (department) of palliative care and sisterly leaving;

2) in multi-profile hospitals and (or) the scientific organizations for the following profiles of beds:

to obstetric;

to gynecologic - in case of the direction on extracorporal fertilization, planned medical abortions, diagnostics and treatment of diseases of female genitals which terms depend on phases of menstrual cycle;

to skin and venereologic;

to oncological;

hematologic and oncohematological.

36. In case of automatic detection of date of hospitalization the responsible specialist of the PHC organization and (or) the directing organization provides to the patient information on hospitals on the corresponding profile.

37. After the choice of hospital by the patient the responsible specialist of the PHC organization and (or) the directing organization registers the direction on planned hospitalization in the waiting list located on the Portal in form, according to appendix 6 to this Standard and daily performs monitoring of the waiting list.

After determination of date of planned hospitalization the responsible specialist of the PHC organization and (or) the directing organization:

informs the patient on date of hospitalization in the chosen hospital by the oral or electronic notification (push or sms);

issues to the patient the coupon of planned hospitalization in form, according to appendix 7 to this Standard;

warns about need of obligatory appearance in the established date of planned hospitalization.

38. In case of refusal by the patient of the planned date of the hospitalization established automatically in the Portal, the responsible specialist of PHC and (or) the directing organization offers it later date of hospitalization or the choice of hospital where earlier hospitalization is provided.

In case of the circumstances which are not allowing to be in hospital in the established date of planned hospitalization, the patient informs the PHC organization and (or) the organization of health care which directed to hospitalization. The hospital transfers hospitalization for the term of no more than 2 (two) calendar days.

Final date of hospitalization is determined in day of receipt in hospital with the round-the-clock observation.

39. The responsible specialist of hospital daily (except for days off and holidays) checks the list of the patients directed to hospitalization in this hospital, creates data on free beds on profiles and till 9 hours 30 minutes and brings them in the leaf of accounting of free beds placed in the Portal in form, according to appendix 8 to this Standard. The planned date of planned hospitalization is determined within 2 (two) working days from the date of registration of the direction for planned hospitalization in the Portal.

40. In case of transfer of the patient in other organization of health care, the specialist of hospital in the location of the patient registers the direction in the Portal after completion of the procedure of approval of guide and accepting the organizations of health care.

41. Automatic detection of the planned date of hospitalization is performed in the Portal in case of registration of the direction for hospitalization in the organization of health care according to the criteria developed taking into account:

the general planned amount of financing;

annual average value of specific weight of the predicted financing amount for planned and emergency hospitalization taking into account cases by nozologiya based on data of previous year;

annual average value of specific weight of the predicted financing amount for cases of planned hospitalization by nozologiya on the profiles which are not participating in hospitalization process based on data of last year;

the predicted cost of all cases (planned and emergency) which statement is planned during the accounting period, according to the plan of general financing for month under report;

terms of average duration of stay of the patient on bed by nozologiya;

the information about the number of the patients hospitalized in planned procedure in one working day;

data on days off, holidays (with transfer), the operational, urgentny days and days intended on sanitary processing (according to the organization of health care);

data on graphics of labor leaves, advanced training of specialists which activities influence process of planned hospitalization;

data on share on independent planned hospitalization of patients.

42. Removal at sight of expectation is performed:

1) the PHC organization and (or) the directed organization:

based on written refusal of the patient of hospitalization after registration of the direction on the Portal;

in case of registration of case of death of the patient at pre-hospital stage;

in case of hospitalization according to the emergency indications;

2) the organization of health care for the place of hospitalization (in the accident ward):

in the absence of medical indications to hospitalization;

in the presence of medical contraindications at the time of hospitalization;

to absence of the patient on hospitalization within 2 calendar days of the established date of hospitalization;

non-core hospitalization.

In case of the independent address of patients the specialist of reception of hospital approves date of planned hospitalization with the responsible Portal specialist.

43. Treat the emergency situations influencing planned hospitalization:

written refusal of the patient of hospitalization after registration of the direction on the Portal;

absence of the patient on hospitalization;

registration of death of the patient at pre-hospital stage;

emergency hospitalization;

hospitalization, independent of the procedure: suspension of operations of the organization of health care, technical failures in work of the Portal.

44. In case of suspension of operations the hospital within 1 (one) working day sends the written notice of emergency situation to management of health care, FSMS and subject of digital health care.

The subject of digital health care within 1 (one) working day notifies the PHC organizations and other organizations of health care.

The responsible specialist informs the patient about emergence of emergency situations and offers the choice of other hospital and (or) hospitalization in the hospital chosen earlier after renewal of its activities.

45. In case of technical failures in the Portal (electronic registration of the direction for hospitalization more than 3 hours), the organization of health care provides continuity of process of the direction on planned hospitalization in the following sequence:

1) the PHC organization or the organization of health care draws up the direction on planned hospitalization for the date approved with hospital on paper;

2) the organization of health care provides hospitalization of the patient according to date of hospitalization on paper;

3) the PHC organization or other organization of health care directly after resumption of work of medical information system provides registration of the directions of patients in the Portal hospitalized and (or) planned for hospitalization during shutdown of medical information system based on these papers;

4) subject of digital health care:

draws up the protocol on the fact not of functioning in the Portal of electronic registration of the direction for hospitalization for the term of more than 3 (three) hours;

requests information from the PHC organizations or the medical organization for the facts of the directions on planned hospitalization on papers;

coordinates process of registration of the directions in the Portal according to data of papers.

46. In case of removal of the directions from "waiting list" in the Portal for cause of death of the patient at pre-hospital stage the information is provided to the subject of informatization by the responsible specialist (within three working days from the date of removal registration): the statement from the out-patient card, the copy of the health certificate on death in the form No. 045/at approved by the order No. KR DSM-175/2020, except as specified which are subject to forensic medical examination.

47. The doctor of reception of hospital in case of the independent address of patients with medical indications performs planned hospitalization in day of the address in:

infectious diseases hospitals and infectious departments under multi-profile hospitals;

the centers of mental health and the organization of health care providing medical care in the field of mental health;

the organizations of health care providing medical care on skin venereologic profile, the skin and venereologic centers as a part of multi-profile hospitals;

centers of ftiziopulmonologiya;

the organizations of health care providing medical care on oncological, oncohematological profile, the oncological centers as a part of multi-profile hospitals;

hospital for disabled people of the Great Patriotic War and persons equated to them;

organizations (department) of recovery treatment and medical rehabilitation;

hospitals (department) of palliative care and sisterly leaving;

multi-profile hospitals, irrespective of the level and patterns of ownership on the next stage of treatment (conservative, operational) and holding actions for recovery treatment and medical rehabilitation according to medical part of the individual program of rehabilitation of the disabled person.

Appendix 1

to the Standard of the organization of delivery of health care in stationary conditions in the Republic of Kazakhstan

The list of diseases by codes of the international classification of the diseases (further – MKB) the 10th review which are subject to treatment in hospital with the round-the-clock observation

№	MKB-10 code	Name MKB-10
1	A00.0	The cholera caused by cholera vibrio 01, biopitch of cholerae (cholera)
2	A00.1	The cholera caused by cholera vibrio 01, biopitch of eltor (eltor)
3	A00.9	The cholera which is not specified
4	A01.0	Typhoid
5	A01.1	A paratyphoid
6	A01.2	B paratyphoid
7	A01.3	Paratyphoid of C
8	A01.4	The paratyphoid which is not specified
9	A02.0	Salmonellezny enteritis
10	A02.1	Salmonellezny septicaemia
11	A02.2/A06.6 †	The localized salmonellezny infection (M01.3 *, G01 *, M90.2 *, J17.0 *, N16.0 *)
12	A02.8	Other specified salmonellezny infections
13	A02.9	The Salmonellezny infection which is not specified
14	A03.0	Shigellez called by Shigella dysenteriae
15	A03.1	Shigellez called by Shigella flexneri
16	A03.2	Shigellez called by Shigella boydii
17	A03.3	Shigellez called by Shigella sonnei
18	A03.8	Another шигеллез
19	A03.9	Shigellez who is not specified
20	A04.0	The enteropathogenic infection caused by Escherichia coli
21	A04.1	The enterotoxigenic infection caused by Escherichia coli
22	A04.2	The enteroinvasive infection caused by escherichia coli
23	A04.3	The Enterogemorragichesky infection caused by Escherichia coli
24	A04.4	Other intestinal infections caused by Escherichia coli
25	A04.5	The enteritis caused by Campylobacter
26	A04.6	The enteritis caused by Yersinia Enterocolitica
27	A04.7	Enterokolit, the caused Clostridium difficile
28	A04.8	Other specified bacterial intestinal infections
29	A04.9	The bacterial intestinal infection which is not specified
30	A05.0	Staphylococcal food poisoning
31	A05.1	Botulism
32	A05.2	Food poisoning, the caused Clostridium perfringens [Clostridium welchii]
33	A05.3	The food poisoning caused by Vibrio parahaemolyticus
34	A05.4	The food poisoning caused by Bacillus cereus
35	A05.8	Other specified bacterial food poisonings
36	A05.9	The bacterial food poisoning which is not specified
37	A06.0	Sharp amoebic dysentery
38	A06.1	Chronic intestinal amebiasis
39	A06.2	Amoebic not dysenteric colitis
40	A06.3	Intestines ameboma
41	A06.4	Amoebic abscess of liver
42	A06.5	Amoebic abscess of lung
43	A06.7	Skin amebiasis
44	A06.8	Amoebic infection of other localization (N51.2 *)
45	A06.9	The amebiasis which is not specified
46	A07.0	Balanthidiasis
47	A07.1	Giardiasis [лямблиоз]
48	A07.2	Kriptosporidioz
49	A07.3	Izosporoz
50	A07.8	Other specified protozoan intestinal diseases
51	A07.9	The protozoan intestinal disease which is not specified
52	A08.0	Rotavirusny enteritis
53	A08.1	The sharp gastroenteropatiya caused by the activator норволк
54	A08.2	Adenoviral enteritis
55	A08.3	Other virus enterita
56	A08.4	The viral intestinal infection which is not specified
57	A08.5	Other specified intestinal infections
58	A09.0	Other not specified gastroenteritis and colitis of infectious origin
59	A09.9	Gastroenteritis and colitis of not specified origin
60	A15.0	The tuberculosis of lungs confirmed bakterioskopichesk with availability or lack of growth of culture
61	A15.1	The tuberculosis of lungs confirmed only with growth of culture
62	A15.2	The tuberculosis of lungs confirmed histologically
63	A15.3	The tuberculosis of lungs confirmed with not specified methods
64	A15.4	The tuberculosis of intra chest lymph nodes confirmed bacteriological and histologically
65	A15.5	The tuberculosis of throat, trachea and bronchial tubes confirmed bacteriological and histologically
66	A15.6	The tubercular pleurisy confirmed bacteriological and histologically
67	A15.7	Primary tuberculosis of respiratory organs confirmed bacteriological and histologically
68	A15.8	The tuberculosis of other respiratory organs confirmed bacteriological and histologically
69	A15.9	The tuberculosis of not specified respiratory organs confirmed bacteriological and histologically
70	A16.0	Tuberculosis of lungs in case of negative results of bacteriological and histologic researches
71	A16.1	Tuberculosis of lungs without carrying out bacteriological and histologic researches
72	A16.2	Tuberculosis of lungs without mentioning of bacteriological or histologic confirmation
73	A16.3	Tuberculosis of intra chest lymph nodes without mentioning of bacteriological or histologic confirmation
74	A16.4	Tuberculosis of throat, trachea and bronchial tubes without mentioning of bacteriological or histologic confirmation
75	A16.5	Tubercular pleurisy without mentioning of bacteriological or histologic confirmation
76	A16.7	Primary tuberculosis of respiratory organs without mentioning of bacteriological or histologic confirmation
77	A16.8	Tuberculosis of other respiratory organs without mentioning of bacteriological or histologic confirmation
78	A16.9	Tuberculosis of respiratory organs of not specified localization without mentioning of bacteriological or histologic confirmation
79	A17.0 †	Tubercular meningitis (G01 *)
80	A17.1 †	Meningeal tuberkulema (G07 *)
81	A17.8 †	Tuberculosis of nervous system of other localizations (G07 *, G05.0 *, G63.0 *)
82	A17.9 †	The tuberculosis of nervous system which is not specified (G99.8 *)
83	A18.0 †	Tuberculosis of bones and joints (M01.1 *, M49.0 *, H75.0 *, M90.0 *, M68.0 *)
84	A18.1 †	Tuberculosis of urinogenital bodies (N33.0 *, N74.0 *, N29.1 *, N51.0 *, N51.1 *, N51.8 *, N74.1 *)
85	A18.2	Tubercular peripheral limfadenopatiya
86	A18.3	Tuberculosis of intestines, peritoneum and mesenteric lymph nodes (K93.0 *, K67.3 *)
87	A18.4	Tuberculosis of skin and hypodermic cellulose (H03.1 *)
88	A18.5 †	Eye tuberculosis (H32.0 *, H19.0 *, H19.2 *, H22.0 *)
89	A18.6 †	Ear tuberculosis
90	A18.7 †	Tuberculosis of adrenal glands (E35.1 *)
91	A18.8 †	Tuberculosis of other specified bodies (I39.0 *, I39.1 *, I39.2 *, I39.3 *, I39.4 *, I39.8 *, I41.0 *, K23.0 *, I32.0 *, E35.0 *, I68.1 *)
92	A19.0	Sharp miliary tuberculosis of one specified localization
93	A19.1	Sharp miliary tuberculosis of multiple localization
94	A19.2	Sharp miliary tuberculosis of not specified localization
95	A19.8	Other forms of miliary tuberculosis
96	A19.9	Miliary tuberculosis of not specified localization
97	A20.0	Bubonic plague
98	A20.1	Tsellyulyarnokozhny plague
99	A20.2	Pulmonary plague
100	A20.3	Plague meningitis
101	A20.7	Septic plague
102	A20.8	Other forms of plague
103	A20.9	The plague which is not specified
104	A21.0	Ultseroglandulyarny tularemia
105	A21.1	Okuloglandulyarny tularemia
106	A21.2	Pulmonary tularemia
107	A21.3	Gastrointestinal tularemia
108	A21.7	Generalized tularemia
109	A21.8	Other forms of tularemia
110	A21.9	The tularemia which is not specified
111	A22.0	Skin form of anthrax
112	A22.1	Pulmonary form of anthrax
113	A22.2	Gastrointestinal form of anthrax
114	A22.7	Anthracic septicaemia
115	A22.8	Other forms of anthrax
116	A22.9	The anthrax which is not specified
117	A23.0	The brucellosis caused by Brucella melitensis
118	A23.1	The brucellosis caused by brucella abortus
119	A23.2	The brucellosis caused by brucella suis
120	A23.3	The brucellosis caused by brucella canis
121	A23.8	Other forms of brucellosis
122	A23.9	The brucellosis which is not specified
123	A24.0	Sap
124	A24.1	Sharp or flash-like мелиоидоз
125	A24.2	Subacute and chronic мелиоидоз
126	A24.3	Another specified мелиоидоз
127	A24.4	Melioidoz who is not specified
128	A25.0	Spirillez
129	A25.1	Streptobatsillez
130	A25.9	Fever from sting of rats not specified
131	A26.0	Skin эризипелоид
132	A26.7	The septicaemia caused by Erysipelothrix (эризипелотрикс)
133	A26.8	Other forms of erizipeloid
134	A26.9	Erizipeloid who is not specified
135	A27.0	Leptospirosis icteric and hemorrhagic
136	A27.8	Other forms of leptospirosis
137	A27.9	The leptospirosis which is not specified
138	A28.0	Pasteurellosis
139	A28.1	Fever from cat's scratches
140	A28.2	Ekstraintestinalny иерсиниоз
141	A28.8	Other specified bacterial zoonoza not classified in other headings
142	A28.9	The bacterial zoonoza which are not specified
143	A30.0	Undifferentiated leprosy
144	A30.1	Tuberkuloidny leprosy
145	A30.2	Boundary tuberkuloidny leprosy
146	A30.3	Boundary leprosy
147	A30.4	Boundary lepromatozny leprosy
148	A30.5	Lepromatozny leprosy
149	A30.8	Other forms of leprosy
150	A30.9	The leprosy which is not specified
151	A31.0	The pulmonary infection caused by Mycobacterium (микобактериум)
152	A31.1	The skin infection caused by mycobacterium
153	A31.8	Other infections caused by Mycobacterium (микобактериум)
154	A31.9	The infection caused by mycobacterium, not specified
155	A32.0	Skin listeriosis
156	A32.1 †	Listeriozny meningitis and encephalomeningitis (G01 *, G05.0 *)
157	A32.7	Listeriozny septicaemia
158	A32.8	Other forms of listeriosis (I68.1 *, I39.8 *)
159	A32.9	The listeriosis which is not specified
160	A33	Tetanus of the newborn
161	A34	Obstetric tetanus
162	A35	Other forms of tetanus
163	A36.0	Throat diphtheria
164	A36.1	Nasopharynx diphtheria
165	A36.2	Throat diphtheria
166	A36.3	Skin diphtheria
167	A36.8	Other diphtheria (H13.1 *, I41.0 *, G63.0 *)
168	A36.9	The diphtheria which is not specified
169	A37.0	The whooping cough caused by Bordetella pertussis
170	A37.1	The whooping cough caused by bordetella parapertussis
171	A37.8	The whooping cough caused by other types of Bordetella
172	A37.9	The whooping cough which is not specified
173	A38	Scarlet fever
174	A39.0 †	Meningococcal meningitis (G01 *)
175	A39.1 †	Waterhouse-Frideriksen's syndrome (E35.1 *)
176	A39.2	Sharp meningokokkemiya
177	A39.3	Chronic meningokokkemiya
178	A39.4	Meningokokkemiya who is not specified
179	A39.5 †	Meningococcal heart trouble
180	A39.8 †	Other meningococcal infections (M01.0 *, H13.1 *, G05.0 *, H48.1 *, M03.0 *)
181	A39.9	The meningococcal infection which is not specified
182	A40.0	The septicaemia caused by group A streptococcus
183	A40.1	The septicaemia caused by group B streptococcus
184	A40.2	The septicaemia caused by group D streptococcus
185	A40.3	The septicaemia caused by Streptococcus pneumonie
186	A40.8	Others streptococcal septicaemia
187	A40.9	The streptococcal septicaemia which is not specified
188	A41.0	The septicaemia caused by Staphylococcus aureus
189	A41.1	The septicaemia caused by other specified staphylococcus
190	A41.2	The septicaemia caused by not specified staphylococcus
191	A41.3	The septicaemia caused by Haemophilus influenzae
192	A41.4	The septicaemia caused by anaerobe bacterias
193	A41.5	The septicaemia caused by other gram-negative microorganisms
194	A41.8	Other specified septicaemia
195	A41.9	The septicaemia which is not specified
196	A42.0	Pulmonary actinomycosis
197	A42.1	Abdominal actinomycosis
198	A42.2	Cervical and front actinomycosis
199	A42.7	Aktinomikozny septicaemia
200	A42.8	Other actinomycosis
201	A42.9	The actinomycosis which is not specified
202	A43.0	Pulmonary нокардиоз
203	A43.1	Nokardioz of skin
204	A43.8	Other forms of nokardioz
205	A43.9	Nokardioz who is not specified
206	A44.0	System бартонеллез
207	A44.1	Skin and skin and mucous бартонеллез
208	A44.8	Other bartonelleza
209	A44.9	Bartonellez who is not specified
210	A46	Ugly face
211	A48.0	Gas gangrene
212	A48.1	Disease of legionaries
213	A48.2	Disease of legionaries without pneumonia [fever Pontiac]
214	A48.3	Syndrome of toxic shock
215	A48.4	Brazilian purple fever
216	A48.8	Other specified bacterial diseases
217	A49.0	The staphylococcal infection which is not specified
218	A49.1	The streptococcal infection which is not specified
219	A49.2	The infection caused by haemophilus influenzae, not specified
220	A49.9	The bacterial infection which is not specified
221	A50.0	Early inborn syphilis with symptoms
222	A50.1	Early inborn syphilis hidden
223	A50.2	The early inborn syphilis which is not specified
224	A50.3	Late inborn syphilitic damage of eyes
225	A50.4	Late inborn neurosyphilis [juvenile neurosyphilis] (G05.0 *, G01 *, G63.0 *)
226	A50.5	Other forms of late inborn syphilis with symptoms (M03.1 *, I98 *, M90.2 *)
227	A50.6	Late inborn syphilis hidden
228	A50.7	The late inborn syphilis which is not specified
229	A50.9	The inborn syphilis which is not specified
230	A51.0	Primary syphilis of genitals
231	A51.1	Primary syphilis of anal area
232	A51.2	Primary syphilis of other localizations
233	A51.3	Secondary syphilis of skin and mucous membranes (L99.8 *)
234	A51.4	Other forms of secondary syphilis (N74.2 *, H22.0 *, G01 *, M63.0 *, H58.8 *, M90.1 *)
235	A51.5	Early syphilis hidden
236	A51.9	The early syphilis which is not specified
237	A52.0 †	Syphilis of cardiovascular system (I98.0 *, I79.0 *, I39.1 *, I79.1 *, I68.1 *, I39.8 *, I41.0 *, I32.0 *, I39.3 *)
238	A52.1	Neurosyphilis with symptoms (M14.6 *, H49.0 *, G05.0 *, G01 *, H48.0 *, G63.0 *, H48.1 *, G22 *)
239	A52.2	Asimptomny neurosyphilis
240	A52.3	The neurosyphilis which is not specified
241	A52.7	Other symptoms of late syphilis
242	A52.8	Late syphilis hidden
243	A52.9	The late syphilis which is not specified
244	A53.0	The latent syphilis which is not specified as early or late
245	A53.9	The syphilis which is not specified
246	A54.0	Gonokokkovy infection of the lower departments of urinogenital path without abscessing of periuretralny or adnexal glands
247	A54.1	Gonokokkovy infection of the lower departments of urinogenital path with abscessing of periuretralny and adnexal glands
248	A54.2 †	Gonokokkovy pelvioperitonit also other gonokokkovy infection of urinogenital bodies (N51.1 *, N74.3 *, N51.0 *)
249	A54.3	Gonokokkovy infection of eyes (H13.1 *, H22.0 *)
250	A54.4 †	Gonokokkovy infection of bone and muscular system (M01.3 *, M73.0 *, M90.2 *, M68.0 *)
251	A63.8	Other specified diseases which are transmitted mainly sexually
252	A66.0	Primary frambeziyny defeats
253	A66.1	Multiple papillomas and pianom bottom
254	A66.2	Other early skin frambeziyny defeats
255	A66.3	Frambeziyny гиперкератоз
256	A66.4	Frambeziyny gummas and ulcers
257	A66.5	Gangoza
258	A66.6	Frambeziyny damages of bones and joints
259	A66.7	Other manifestations of frambeziya
260	A66.8	Latent frambeziya
261	A66.9	Frambeziya who is not specified
262	A67.0	Primary defeats in case of pint
263	A67.1	Intermediate defeats in case of pint
264	A67.2	Late defeats in case of pint
265	A67.3	The mixed defeats in case of pint
266	A67.9	The pint which is not specified
267	A68.0	Lousy returnable fever
268	A68.1	Epidemic returnable typhus
269	A68.9	The returnable fever which is not specified
270	A69.0	Necrotizing ulcer stomatitis
271	A69.1	Other infections of Vincent
272	A69.2	Lime disease
273	A69.8	Other specified spirokhetozny infections
274	A69.9	The Spirokhetozny infection which is not specified
275	A70	The infection caused by Chlamydia psittaci (psitaka chlamydia) (ornithosis, ornithosis)
276	A71.0	Initial stage of trachoma
277	A71.1	Active stage of trachoma
278	A71.9	The trachoma which is not specified
279	A74.0 †	Chlamidia conjunctivitis (H13.1 *)
280	A74.8	Other Chlamidia diseases (K67.0 *)
281	A74.9	The Chlamidia infection which is not specified
282	A75.0	The epidemic lousy typhus caused by Rickettsia prowazekii (Provachek's rickettsia)
283	A75.1	Recidivous typhus [Brill's disease]
284	A75.2	The typhus caused by Rickettsia typhi (rickettsia typhus)
285	A75.3	The typhus caused by Rickettsia tsutsugamushi (tsutsugamusha rickettsia)
286	A75.9	Sypna the typhus which is not specified
287	A77.0	The spotty fever caused by Rickettsia rickettsii
288	A77.1	The spotty fever caused by Rickettsia conorii
289	A77.2	Spotty fever (North Asian tick-borne) caused by Rickettsia siberica (rickettsia of siberik)
290	A77.3	The spotty fever caused by rickettsia australis
291	A77.8	Other spotty fevers
292	A77.9	The spotty fever which is not specified
293	A78	Ku's fever
294	A79.0	Trench (Volynsk) fever
295	A79.1	The Ospovidny (vezikulezny) rickettsial disease caused by rickettsia akari
296	A79.8	Other specified rickettsial diseases
297	A79.9	The rickettsial disease which is not specified
298	A80.0	The sharp paralytic poliomyelitis associated with vaccine
299	A80.1	The sharp paralytic poliomyelitis caused by the wild delivered virus
300	A80.2	The sharp paralytic poliomyelitis caused by wild natural virus
301	A80.3	Sharp paralytic poliomyelitis another and not specified
302	A80.4	Sharp not paralytic poliomyelitis
303	A80.9	The sharp poliomyelitis which is not specified
304	A81.0	Kreyttsfeldta-Jacob's disease
305	A81.1	Subacute skleroziruyushchy pan-encephalitis
306	A81.2	The progressing multifocal leykoentsefalopatiya
307	A81.8	Other slow viral infections of the central nervous system
308	A81.9	Slow viral infections of the central nervous system not specified
309	A82.0	Forest rage
310	A82.1	City rage
311	A82.9	The rage which is not specified
312	A83.0	Japanese encephalitis
313	A83.1	Western horse encephalitis
314	A83.2	East horse encephalitis
315	A83.3	Encephalitis St. Louis
316	A83.4	Australian encephalitis
317	A83.5	Californian encephalitis
318	A83.6	The disease caused by Rotsio's virus
319	A83.8	Other mosquito viral encephalitis
320	A83.9	The mosquito viral encephalitis which is not specified
321	A84.0	Far East tick-borne encephalitis [the Russian spring and summer encephalitis]
322	A84.1	Central European tick-borne encephalitis
323	A84.8	Other tick-borne viral encephalitises
324	A84.9	The tick-borne viral encephalitis which is not specified
325	A85.0 †	Enteroviral encephalitis (G05.1 *)
326	A85.1 †	Adenoviral encephalitis (G05.1 *)
327	A85.2	The viral encephalitis transmitted by arthropods, which is not specified
328	A85.8	Other specified viral encephalitis
329	A86	The viral encephalitis which is not specified
330	A87.0 †	Enteroviral meningitis (G02.0 *)
331	A87.1	Adenoviral meningitis
332	A87.2	Lymphocytic horiomeningit
333	A87.8	Other viral meningitis
334	A87.9	The viral meningitis which is not specified
335	A88.0	Enteroviral ekzantematozny fever (Boston dieback)
336	A88.1	Epidemic dizziness
337	A88.8	Other specified viral infections of the central nervous system
338	A89	Viral infection of the central nervous system not specified
339	A92.0	The disease caused by virus of Chikungunya
340	A92.1	Fever About "Nyong-Nyong
341	A92.2	Venezuelan horse fever
342	A92.3	Western Neil's fever
343	A92.4	Fever of Rift-Valli [valleys Rift]
344	A92.8	Other specified mosquito viral fever
345	A92.9	The mosquito viral fever which is not specified
346	A93.0	The disease caused by virus Oropush
347	A93.1	Mosquito fever
348	A93.2	Colorado tick-borne fever
349	A93.8	Other specified viral fevers transmitted by arthropods
350	A94	The viral fever transmitted by arthropods, which is not specified
351	A95.0	Forest yellow fever
352	A95.1	City yellow fever
353	A95.9	The yellow fever which is not specified
354	A96.0	Hemorrhagic fever Junin
355	A96.1	Hemorrhagic fever of Machupo
356	A96.2	Lasso fever
357	A96.8	Other arenovirusny hemorrhagic fevers
358	A96.9	The Arenovirusny hemorrhagic fever which is not specified
359	A97.0	Dengue without clinical manifestations
360	A97.1	Dengue with clinical manifestations
361	A97.2	Heavy fever of the Dengue
362	A97.9	Dengue not specified
363	A98.0	The Crimean hemorrhagic fever (caused by the Congo virus)
364	A98.1	Omsk hemorrhagic fever
365	A98.2	Kyasanursky forest disease
366	A98.3	The disease caused by virus Marburg
367	A98.4	The disease caused by Ebola virus
368	A98.5	Hemorrhagic fever with kidney syndrome
369	A98.8	Other specified viral hemorrhagic fevers
370	A99	The viral hemorrhagic fever which is not specified
371	B00.3 †	Herpetic meningitis (G02.0 *)
372	B00.4 †	Herpetic encephalitis (G05.1 *)
373	B00.7	The disseminated herpetic disease
374	B00.8	Other forms of herpetic infections (K77.0 *)
375	B00.9	The herpetic infection which is not specified
376	B01.0 †	Chicken pox with meningitis (G02.0 *)
377	B01.1 †	Chicken pox with encephalitis (G05.1 *)
378	B01.2 †	Chicken pox with pneumonia (J17.1 *)
379	B01.8	Chicken pox with other complications
380	B01.9	Chicken pox without complications
381	B02.0 †	Shingles with encephalitis (G05.1 *)
382	B02.1 †	Shingles with meningitis (G02.0 *)
383	B02.2 †	Shingles with other complications from nervous system (G53.0 *, G63.0 *)
384	B02.3 †	Shingles with eye complications (H03.1 *, H13.1 *, H22.0 *, H19.2 *, H19.0 *)
385	B02.7	The disseminated shingles
386	B02.8	Shingles with other complications
387	B03	Smallpox
388	B04	The infections caused by virus of monkey smallpox
389	B05.0 †	The measles complicated by encephalitis (G05.1 *)
390	B05.1 †	The measles complicated by meningitis (G02.0 *)
391	B05.2 †	The measles complicated by pneumonia (J17.1 *)
392	B05.3 †	The measles complicated by average otitis (H67.1 *)
393	B05.4	Measles with intestinal complications
394	B05.8	Measles with other complications (H19.2 *)
395	B05.9	Measles without complications
396	B06.0 †	Rubella with neurologic complications (G05.1 *, G02.0 *)
397	B06.8	Rubella with other complications (M01.4 *, J17.1 *)
398	B08.2	Dieback sudden [sixth disease]
399	B08.3	Eritema infectious [fifth disease]
400	B08.4	Enteroviral vesicular stomatitis with dieback
401	B08.5	Enteroviral vesicular pharyngitis
402	B09	The viral infection which is characterized by damage of skin and слизистех covers, is not specified
403	B15.0	Viral hepatitis A with hepatic coma
404	B15.9	Viral hepatitis A without hepatic coma
405	B16.0	Acute viral hepatitis B with the delta agent (coinfection) and hepatic coma
406	B16.1	Acute viral hepatitis B with the delta agent (coinfection) without hepatic coma
407	B16.2	Acute viral hepatitis B without delta agent with hepatic coma
408	B16.9	Acute viral hepatitis B without delta agent and without hepatic coma
409	B17.0	Sharp delta (super) infection of virus carrier of hepatitis B
410	B17.1	Acute viral hepatitis C
411	B17.2	Acute hepatitis of E
412	B17.8	Other specified acute viral hepatitises
413	B17.9	The acute viral hepatitis which is not specified
414	B18.0	Chronic viral hepatitis B with the delta agent
415	B18.1	Chronic viral hepatitis B without delta agent
416	B18.2	Chronic viral hepatitis C
417	B18.8	Other chronic viral hepatitises
418	B18.9	The chronic viral hepatitis which is not specified
419	B19.0	Not specified viral hepatitis with coma
420	B19.9	Not specified viral hepatitis without hepatic coma
421	B20.0	The disease caused by HIV with displays of mikobakterialny infection
422	B20.1	The disease caused by HIV with displays of other bacterial infections
423	B20.2	The disease caused by HIV with displays of Cytomegaloviral disease
424	B20.3	The disease caused by HIV with displays of other viral infections
425	B20.4	The disease caused by HIV with displays of candidiasis
426	B20.5	The disease caused by HIV with displays of other mycoses
427	B20.6	The disease caused by HIV with displays of the pneumonia caused by Pneumocystis carinii
428	B20.7	The disease caused by HIV with displays of multiple infections
429	B20.8	The disease caused by HIV with displays of other infectious and parasitic diseases
430	B20.9	The disease caused by HIV with displays of not specified infectious and parasitic diseases
431	B21.0	The disease caused by HIV with displays of sarcoma of Kaposha
432	B21.1	The disease caused by HIV with manifestations of lymphoma of Berkitt
433	B21.2	The disease caused by HIV with manifestations of other nekhodzhkinsky lymphoma
434	B21.3	The disease caused by HIV with manifestations of other malignant new growths lymphatic, haematogenic and related it fabrics
435	B21.7	The disease caused by HIV with manifestations of multiple malignant new growths
436	B21.8	The disease caused by HIV with manifestations of other malignant new growths
437	B21.9	The disease caused by HIV with manifestations of not specified malignant new growths
438	B22.0	The disease caused by HIV with displays of encephalopathy
439	B22.1	The disease caused by HIV with displays of lymphatic intersticial pneumonitis
440	B22.2	The disease caused by HIV with manifestations of the exhausting syndrome
441	B22.7	The disease caused by HIV with displays of the multiple diseases classified in other headings
442	B23.0	Sharp HIV-infectious syndrome
443	B23.1	The disease caused by HIV with manifestations (persistent) generalized limfadenopatiya
444	B23.2	The disease caused by HIV with manifestations of the hematologic and immunological violations which are not classified in other headings
445	B23.8	The disease caused by HIV with manifestations of other specified conditions
446	B24	The disease caused by the human immunodeficiency virus (HIV), not specified
447	B25.0 †	Cytomegaloviral pneumonitis (J17.1 *)
448	B25.1 †	Cytomegaloviral hepatitis (K77.0 *)
449	B25.2 †	Cytomegaloviral pancreatitis (K87.1 *)
450	B25.8	Other Cytomegaloviral diseases
451	B25.9	The Cytomegaloviral disease which is not specified
452	B26.0 †	Parotitis orkhit (N51.1 *)
453	B26.1 †	Parotitis meningitis (G02.0 *)
454	B26.2 †	Parotitis encephalitis (G05.1 *)
455	B26.3 †	Parotitis pancreatitis (K87.1 *)
456	B26.8	Epidemic parotitis with other complications (M01.5 *, I41.1 *, N08.0 *, G63.0 *)
457	B26.9	Epidemic parotitis without complications
458	B27.0	Mononukleoz called by gamma and herpetic virus
459	B27.1	Cytomegaloviral мононуклеоз
460	B27.8	Another infectious мононуклеоз
461	B27.9	Infectious мононуклеоз not specified
462	B33.0	Epidemic mialgiya
463	B33.1	Ross-river disease
464	B33.2	Virus carditis
465	B33.3	The retroviral infections which are not classified in other headings
466	B33.4	Hantavirus (kardio-) pulmonary syndrome [HPS] of [HCPS]
467	B33.8	Other specified viral diseases
468	B34.0	The adenoviral infection which is not specified
469	B34.1	The enteroviral infection which is not specified
470	B34.2	The Koronavirusny infection which is not specified
471	B34.3	The parvoviral infection which is not specified
472	B34.4	The Papovavirusny infection which is not specified
473	B34.8	Other viral infections of not specified localization
474	B34.9	The viral infection which is not specified
475	B35.0	Dermatofitiya of hairy part of the head and beard
476	B35.3	Dermatofitiya of feet
477	B35.4	Dermatofitiya of trunk
478	B35.6	Epidermofitiya inguinal
479	B37.0	Kandidozny stomatitis
480	B37.1	Pulmonary candidiasis
481	B37.2	Candidiasis of skin and nails
482	B37.3 †	Candidiasis of vulva and vagina (N77.1 *)
483	B37.4 †	Candidiasis of other urogenital localizations (N51.2 *, N37.0 *)
484	B37.5 †	Kandidozny meningitis (G02.1 *)
485	B37.6 †	Kandidozny endocarditis (I39.8 *)
486	B37.7	Kandidozny septicaemia
487	B37.8	Candidiasis of other localizations
488	B37.9	The candidiasis which is not specified
489	B38.0	Sharp pulmonary кокцидиоидомикоз
490	B38.1	Chronic pulmonary кокцидиоидомикоз
491	B38.2	Pulmonary кокцидиоидомикоз not specified
492	B38.3	Skin кокцидиоидомикоз
493	B38.4 †	Koktsidioidomikozny meningitis (G02.1 *)
494	B38.7	Disseminated кокцидиоидомикоз
495	B38.8	Other types of koktsidioidomikoz
496	B38.9	Koktsidioidomikoz who is not specified
497	B39.0	The sharp pulmonary infection caused by Histoplasma capsulatum
498	B39.1	The chronic pulmonary infection caused by Histoplasma capsulatum
499	B39.2	The pulmonary histoplasmosis which is not specified
500	B39.3	The disseminated histoplasmosis
501	B39.4	The histoplasmosis caused by Histoplasma capsulatum, not specified (gistoplazma капсулятум)
502	B39.5	The infection caused by Histoplasma duboisii
503	B39.9	The histoplasmosis which is not specified
504	B40.0	Sharp pulmonary бластомикоз
505	B40.1	Chronic pulmonary бластомикоз
506	B40.2	Pulmonary бластомикоз not specified
507	B40.3	Skin бластомикоз
508	B40.7	Disseminated бластомикоз
509	B40.8	Other types of blastomikoz
510	B40.9	Blastomikoz who is not specified
511	B41.0	Pulmonary паракокцидиоидомикоз
512	B41.7	Disseminated паракокцидиоидомикоз
513	B41.8	Other types of parakoktsidioidomikoz
514	B41.9	Parakoktsidioidomikoz who is not specified
515	B42.0 †	Pulmonary споротрихоз (J99.8 *)
516	B42.1	Skin лимфотический споротрихоз
517	B42.7	Disseminated споротрихоз
518	B42.8	Other types of sporotrikhoz
519	B42.9	Sporotrikhoz who is not specified
520	B43.0	Skin chromomycosis
521	B43.1	Feomikotichesky abscess of brain
522	B43.2	Hypodermic feomikotichesky abscess and cyst
523	B43.8	Other types of chromomycosis
524	B43.9	The chromomycosis which is not specified
525	B44.0	Invasive pulmonary aspergillomycosis
526	B44.1	Other forms of pulmonary aspergillomycosis
527	B44.2	Tonsillar aspergillomycosis
528	B44.7	The disseminated aspergillomycosis
529	B44.8	Other types of aspergillomycosis
530	B44.9	The aspergillomycosis which is not specified
531	B45.0	Pulmonary криптококкоз
532	B45.1	Cerebral криптококкоз
533	B45.2	Skin криптококкоз
534	B45.3	Bone криптококкоз
535	B45.7	Disseminated криптококкоз
536	B45.8	Other types of kriptokokkoz
537	B45.9	Kriptokokkoz who is not specified
538	B46.0	Pulmonary мукормикоз
539	B46.1	Rinotserebralny мукормикоз
540	B46.2	Gastrointestinalny мукормикоз
541	B46.3	Skin мукормикоз
542	B46.4	Disseminated мукормикоз
543	B46.5	Mukormikoz who is not specified
544	B46.8	Other zigomikoza
545	B46.9	Zigomikoz who is not specified
546	B47.0	True mycetoma
547	B47.1	Aktinomitsetoma
548	B48.0	Lobomikoz
549	B48.1	Rinosporidioz
550	B48.2	Allesheroz
551	B48.3	Geotrikhoz
552	B48.4	Penitsilloz
553	B48.7	Opportunistic mycoses
554	B48.8	Other specified mycoses
555	B49	The mycosis which is not specified
556	B50.0	The malaria caused by Plasmodium falciparum (плазмодиум фальципарум), with cerebral complications
557	B50.8	Other types of the heavy and complicated malaria caused by Plasmodium falciparum (плазмодиум фальципарум)
558	B50.9	The malaria caused by Plasmodium falciparum, not specified
559	B51.0	The malaria caused by Plasmodium vivax (плазмодиум вивакс), complicated by spleen gap
560	B51.8	The malaria caused by Plasmodium vivax (плазмодиум вивакс), with other complications
561	B51.9	The malaria caused by Plasmodium vivax without complications
562	B52.0	The malaria caused by Plasmodium malariae (плазмодиум maryariya), with nephropathy
563	B52.8	The malaria caused by Plasmodium malariae (плазмодиум maryariya), with other complications

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