On approval of the procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations. On approval of the procedure for organizing and implementing the prevention of non-infectious

Order of the Ministry of Health of the Russian Federation of September 30, 2015 N 683n
“On approval of the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to form healthy lifestyle life in medical organizations

In accordance with paragraph 4 of Article 30 federal law dated November 21, 2011 N 323-FZ "On the fundamentals of protecting the health of citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, art. 6724; 2012, N 26, art. 3442, 3446; 2013, N 27 3459, 3477; N 30, item 4038; N 39, item 4883; N 48, item 6165; N 52, item 6951; 2014, N 23, item 2930; N 30, item 4106 , 4244, 4247, 4257; N 43, item 5798; N 49, item 6927, 6928; 2015, N 1, item 72, 85; N 10, item 1403, 1425; N 14, item 2018; N 27, item 3951; N 29, item 4339, 4356, 4359, 4397) I order:

1. Approve the Procedure for the organization and implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle in medical organizations in accordance with the Appendix.

applications N 1, 5, 9 from the order of the Ministry of Health and social development of the Russian Federation dated August 19, 2009 N 597n "On the organization of the activities of health centers to promote a healthy lifestyle among citizens of the Russian Federation, including reducing the consumption of alcohol and tobacco" (registered by the Ministry of Justice of the Russian Federation on September 25, 2009, registration N 14871), as amended by orders of the Ministry of Health and Social Development of the Russian Federation of June 8, 2010 N 430n (registered by the Ministry of Justice of the Russian Federation on July 7, 2010, registration N 17754), of April 19, 2011 N 328n (registered by the Ministry of Justice of the Russian Federation on May 4, 2011, registration N 20656), dated September 26, 2011 N 1074n (registered by the Ministry of Justice of the Russian Federation on November 17, 2011, registration N 22330);

applications N 7, 24 - 27 of the Regulations on the organization of primary health care for the adult population, approved by order of the Ministry of Health and Social Development of the Russian Federation of May 15, 2012 N 543n (registered by the Ministry of Justice of the Russian Federation on June 27, 2012, registration N 24726), as amended by the order of the Ministry of Health of the Russian Federation of June 23, 2015 N 361n (registered by the Ministry of Justice of the Russian Federation on July 7, 2015, registration N 37921).

Order 683 mz

Orders of the Government of the Russian Federation

• Decree of the Government of the Russian Federation of April 15, 2014 No. 294 “On approval of the state program of the Russian Federation “Health Development”
• Decree of the Government of the Russian Federation No. 2128-r dated December 30, 2009 “On the Concept for the Implementation public policy to reduce the scale of abuse of alcoholic products and the prevention of alcoholism among the population of the Russian Federation for the period up to 2020"
• Order of the Ministry of Health of the Russian Federation No. 683n dated September 30, 2015 "Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations"
• Order of the Ministry of Health of the Russian Federation No. 36an of February 3, 2015 "On approval of the procedure for conducting medical examinations for certain groups of the adult population"
• Order of the Ministry of Health and Social Development of the Russian Federation of May 15, 2012 N 543n "On approval of the regulation on the organization of the provision of primary health care to the adult population"
• Order of the Ministry of Health of the Russian Federation No. 343n dated June 15, 2015 “On approval of the procedure for organizing and conducting sanitary and educational work on the prevention of management vehicle in a state of alcoholic, narcotic or other toxic intoxication"
• Order of the Ministry of Health of the Russian Federation No. 1344n dated December 21, 2012 "On approval of the procedure for dispensary observation"
• Order of the Ministry of Health of the Russian Federation No. 1011n dated December 6, 2012 “On approval of the procedure for conducting a preventive medical examination”
• Order of the Ministry of Health of the Russian Federation No. 1006n dated December 03, 2012 “On approval of the procedure for conducting medical examinations for certain groups of the adult population”
• Order of the Ministry of Health and Social Development No. 597n of August 19, 2009 “On organizing the activities of health centers to promote a healthy lifestyle among citizens of the Russian Federation, including reducing alcohol and tobacco consumption”
• Order of the MHSD No. 826 of October 14, 2009 “On the establishment working group on the organization of the work of health centers in the framework of the implementation of measures to promote a healthy lifestyle among citizens of the Russian Federation, including the reduction of alcohol and tobacco consumption"
• Order No. 113 dated March 21, 2003 "On the Approval of the Concept of Protecting the Health of the Healthy in the Russian Federation"
• Order No. 455 dated September 23, 2003 was canceled
• Order of the Ministry of Health of Russia dated December 31, 2003 No. 650 “On approval of instructions for filling out the reporting and accounting documentation of a center, department (office)”
• Order of the Ministry of Health of Russia dated April 23, 1997 No. I / 61-119 “On the temporary form of statistical reporting”
• Order No. 344 of November 26, 1997 “On the establishment of a coordination center and regional offices for the prevention of non-communicable diseases and risk factors”

Main regulatory documents

the Constitution of the Russian Federation;

Federal Law No. 44-FZ of April 5, 2013 (as amended on June 4, 2014) “On the contract system in the field of procurement of goods, works, services to meet state and municipal needs”;

Federal Law No. 323-FZ of November 21, 2011 (as amended on June 25, 2012) “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”;

Federal Law No. 52-FZ dated November 21, 2011 “On the Sanitary and Epidemiological Welfare of the Population”;

Federal Law No. 15-FZ dated February 23, 2013 “On Protecting the Health of Citizens from Exposure to Secondhand Tobacco Smoke and the Consequences of Tobacco Consumption”;

Decree of the Government of the Russian Federation of December 30, 2009 No. 2128-r "The concept of implementing the state policy to reduce the scale of alcohol abuse and prevent alcoholism among the population of the Russian Federation for the period up to 2020"

Decree of the Government of the Russian Federation dated June 30, 2012 No. 1134-r "Action Plan for the implementation of the Fundamentals of the State Policy of the Russian Federation in the field of healthy eating population for the period up to 2020"

Decree of the President of the Russian Federation of 07.05.2012 No. 598 “On improving the state policy in the field of healthcare”;

Order of the Ministry of Health of the Russian Federation dated March 21, 2003 No. 113 "On approval of the concept of protecting the health of healthy people in the Russian Federation"

Order of the Ministry of Health of the Russian Federation dated September 23, 2003 No. 455 “On improving the activities of health authorities and institutions for disease prevention in the Russian Federation”;

Order of the Ministry of Health and Social Development of the Russian Federation of August 19, 2009 No. 597n “On organizing the activities of health centers to promote a healthy lifestyle among citizens of the Russian Federation, including reducing alcohol and tobacco consumption”;

Order of the Ministry of Health and Social Development of the Russian Federation of May 15, 2012 No. 543n “On approval of the Regulations on the organization of the provision of primary health care to the adult population”;

Order of the Ministry of Health of Russia dated 03.02.2015 No. 36an "On approval of the procedure for medical examination of certain groups of the adult population"

Order of the Ministry of Health of Russia dated December 6, 2012 No. 1011n “On Approval of the Procedure for Conducting a Preventive Medical Examination”;

Decree of the Government of Khanty-Mansiysk autonomous region- Yugra dated December 22, 2012 No. 775-rp "On a comprehensive plan of measures to prevent diseases and promote a healthy lifestyle among citizens living in the Khanty-Mansiysk Autonomous Okrug - Yugra, for 2013-2017";

Order of the Department of Health of the Khanty-Mansiysk Autonomous Okrug - Yugra dated February 19, 2013 No. 78 "On the organization of the activities of health centers";

Order of the Department of Health of the Khanty-Mansiysk Autonomous Okrug - Yugra dated 04.12.2013 No. 653 "On measures to further increase the level of medical and hygienic knowledge of the population."

Decree of the Government of the Khanty-Mansiysk Autonomous Okrug - Yugra dated May 30, 2013 No. 212-p "On state program Khanty-Mansiysk Autonomous Okrug - Yugra "Health Development" for 2014-2020";

Decree of the Government of the Khanty-Mansiysk Autonomous Okrug - Ugra dated December 22, 2012 No. 762-rp "On the adoption in 2013 of state ownership of the Khanty-Mansiysk Autonomous Okrug - Ugra of medical organizations municipal system health care of the Khanty-Mansiysk Autonomous Okrug - Yugra";

The structure of the order 1. Order 2. Annexes (10) Order of the Ministry of Health of the Russian Federation of September 30, 2015 683 n “On approval of the Procedure ...” - presentation

Presentation on theme: "The structure of the order 1. Order 2. Applications (10) Order of the Ministry of Health of the Russian Federation of September 30, 2015 683 n "On approval of the Procedure ..."" - Presentation transcript:

2 The structure of the order 1. Order 2. Annexes (10) Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...”

3 Structure of the order (appendix) Appendix "The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations" (hereinafter referred to as the Procedure). Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

4 Annex "Procedure for the organization and implementation of the prevention of non-communicable diseases ..." 1. Levels of prevention of non-communicable diseases - population, group and individual. 2. Who carries out prevention (state authorities, local governments, employers, medical organizations, educational organizations and physical culture and sports organizations, public associations). Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

5 4. Prevention of non-communicable diseases is ensured by: 1) development and implementation of programs for the formation of a healthy lifestyle and the prevention of non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription; 2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or a high risk of their development. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

6 5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following activities: psychotropic substances without a doctor's prescription; 2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, determining the degree of their severity and health hazard; 3) provision of medical services for the correction (elimination or reduction of the level) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor's appointment to a doctor - psychiatrist - narcologist of a specialized medical organization or other medical organization providing drug treatment; 4) conducting clinical examination and preventive medical examinations; 5) dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

7 7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations are carried out as part of the provision of primary health care, including primary pre-medical health care, primary medical health care, primary specialized health care, as well as specialized medical care and sanatorium treatment. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

8 8. Medical assistance for the prevention of non-communicable diseases is provided in the following conditions: 1) on an outpatient basis (in conditions that do not provide for round-the-clock medical supervision and treatment), including at home when a medical worker is called; 2) in a day hospital (in conditions that provide for medical supervision and treatment in the daytime, but do not require round-the-clock medical supervision and treatment); 3) stationary (in conditions that provide round-the-clock medical supervision and treatment). Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

9 10. The paramedic (nurse) of the feldsher-obstetric station and the feldsher health center in the implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle: 1) identifies and corrects the main risk factors for the development of non-communicable diseases, sends to the doctor if there are medical indications — to a specialist providing primary medical health care, to the department (office) of medical prevention, a health center, a medical aid office for cessation of tobacco consumption; 2) participates in the organization and conduct of medical examinations and preventive medical examinations; 3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases; 4) develops and implements measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent the harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor's prescription; 5) provides information to citizens about the need for urgent medical attention in case of life-threatening conditions, diseases and their complications, as well as training of persons at high risk of developing life-threatening conditions and their families on the rules of first aid for these conditions. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

10 11. As part of the provision of primary medical care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by general practitioners, district general practitioners, doctors general practice(family doctors), pediatricians, district pediatricians in the direction medical workers or at the independent appeal of a citizen. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

11 16. The organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by medical organizations and their structural divisions in accordance with Annexes No. 1-9 to this Procedure. appendices N 1-9 Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "The procedure for organizing and implementing the prevention of non-communicable diseases ...."

12 Structure of the order (application) Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

13 Appendix 1 to the Procedure "Rules for organizing the activities of the department (office) of medical prevention for adults" 1. These Rules determine the procedure for organizing the activities of the department (office) of medical prevention for adults. 2. The department (office) of medical prevention for adults is a structural subdivision of a medical organization or other organization engaged in medical activities, providing primary health care (hereinafter referred to as a medical organization). 3. In a medical organization with an attached adult population of 20 thousand people or more, it is recommended to create a medical prevention department for adults, and with an attached adult population of less than 20 thousand people, it is recommended to create a medical prevention cabinet for adults. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

14 A medical worker who has higher education in the specialties (fields of training) "General Medicine", "Pediatrics", "Medical and Preventive Care", "Dentistry", "Nursing", trained in additional professional programs advanced training on the prevention of non-communicable diseases and the formation of a healthy lifestyle. A medical worker with a secondary vocational (medical) education in the specialties "nursing", "obstetrics", advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

15 7. The structure and staffing of the department (office) of medical prevention for adults are established by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 2 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to form a healthy lifestyle in medical organizations, approved by this order. Appendix N 2 Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

16 8. To organize the work of the department of medical prevention for adults, it is recommended to provide the following structural units in its structure: 1) an office for organizing medical examinations and preventive medical examinations; 2) an office for diagnosing and correcting the main risk factors for the development of non-communicable diseases; 3) an office of population methods of prevention. 9. If it is not possible to allocate separate premises for structural subdivisions of the department of medical prevention, as well as when organizing a medical prevention room for adults, it is recommended to provide for zoning of premises for organizing medical examinations and preventive medical examinations, diagnosing and correcting risk factors for the development of non-communicable diseases. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

17 10. Equipping the department (office) of medical prevention for adults is carried out in accordance with the equipment standard established by Appendix No. 3 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations, approved by this order. Appendix N 3 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

18 11. The main functions of the department (office) of medical prevention for adults are: 1) carrying out measures to prevent non-communicable diseases, including those that are the main cause of disability and mortality of the population; 2) organization and participation in medical examinations and preventive medical examinations of the adult population; 3) participation in informing citizens who are on medical care in a medical organization about conducting medical examinations and preventive medical examinations, about their goals and objectives, conducting explanatory work and motivating citizens to undergo medical examinations and preventive medical examinations; 4) maintaining medical records and performing individual medical studies during medical examinations and preventive medical examinations; 5) determination (diagnosis) of risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, identifying violations of the basic conditions for maintaining a healthy lifestyle; 6) taking measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption, citizens, including citizens with II and III groups of health status * (in the direction of a medical worker, as part of the second stage of medical examination); * Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

19 11. The main functions of the department (office) of medical prevention for adults are (continued): harmful consumption of alcohol or the risk of using narcotic drugs and psychotropic substances to a doctor - psychiatrist - narcologist of a specialized medical organization providing drug treatment; 8) dispensary observation, including the prescription of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases; 9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle; 10) teaching citizens the rules of first aid in case of life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accident, acute heart failure, sudden cardiac death), including individual and / or group training of persons with a high risk of developing these life-threatening conditions, and members of their families; 11) reporting in the prescribed manner **, collection and provision of primary data on medical activities for information systems in the field of healthcare ***, including control, recording and analysis of the results of medical examinations and preventive medical examinations; ** *** 12) organization and participation in activities to promote a healthy lifestyle among the population, including within the framework of mass actions and information campaigns, as well as informing the population, including mass media, on methods for correcting risk factors for non-communicable diseases and preventing their complications; 13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

20 Structure of the order (application) Appendix 2 to the Procedure "Recommended staffing standards of the department (office) of medical prevention for adults". Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” ¹ These recommended staffing standards do not apply to medical organizations of the private healthcare system.

21 Structure of the order (application) Appendix 3 to the Procedure "Standard for equipping the department (office) of medical prevention for adults". Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

22 Structure of the order (appendix) Appendix 4 to the Order "Rules for organizing the activities of the health center". Annex 5 to the Procedure "Recommended staffing standards for a health center". Appendix 6 to the Order "Standard for equipping a health center". Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

23 Structure of the order (appendix) Appendix 7 to the Procedure "Rules for organizing the activities of the center for medical prevention". Annex 8 to the Order "Recommended staffing standards for the center of medical prevention". Annex 9 to the Order "Standard for equipping the center of medical prevention". Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

Legislation

Order of the Ministry of Health and Social Development of the Republic of Kazakhstan No. 683 dated August 2, 2016

Ministry of Health and Social Development of the Republic of Kazakhstan

On amendments to the order of the Minister of Health and Social Development of the Republic of Kazakhstan dated April 28, 2015 No. 274 "On approval of the Rules for attracting independent experts in the field of healthcare"

In accordance with subparagraph 102-1) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 "On the health of the people and the healthcare system" I ORDER:

1. Include in the order of the Minister of Health and Social Development of the Republic of Kazakhstan dated April 28, 2015 No. 274 "On approval of the Rules for attracting independent experts in the field of health care" (registered in the Register of state registration of regulatory legal acts under No. 11207 dated May 28, 2015, published in information and legal system "Adilet" on June 17, 2015) the following changes:

- the heading shall be stated in the following edition:

“On Approval of the Rules for Engaging Independent Experts in the Conduct of External Expertise”;

- the preamble shall be stated in the following wording:

“In accordance with subparagraph 102-1) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 “0 to the health of the people and the healthcare system”, I ORDER:”;

- Paragraph 1 shall be stated in the following wording:

"one. Approve the attached Rules for Engaging Independent Experts in the Conduct of External Expertise.”;

The rules for engaging independent experts during external expertise (hereinafter referred to as the Rules), approved by the said order, shall be amended in accordance with the appendix to this order.

2. The Committee for Control of Medical and Pharmaceutical Activities of the Ministry of Health and Social Development of the Republic of Kazakhstan shall ensure:

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

2) sending a copy of this order in printed form and in electronic format within five working days from the date of signing in one copy in the state and Russian languages ​​to the Republican State Enterprise on the right of economic management "Republican Center for Legal Information" for inclusion in the Standard Control Bank of regulatory legal acts of the Republic of Kazakhstan;

3) within ten calendar days after the state registration of this order in the Ministry of Justice of the Republic of Kazakhstan, sending for official publication in periodicals and the information and legal system "Adilet";

4) placement of this order on the Internet resource of the Ministry of Health and Social Development of the Republic of Kazakhstan;

5) within ten working days after the state registration of this order with the Ministry of Justice of the Republic of Kazakhstan, submission to the Legal Service Department of the Ministry of Health and Social Development of the Republic of Kazakhstan of information on the implementation of the measures provided for in subparagraphs 1), 2), 3) and 4) of this paragraph.

3. I reserve control over the execution of this order.

4. This order comes into force on January 1, 2017 and is subject to official publication.

And about. Minister of Health
and social development of the Republic of Kazakhstan A. Tsoi

Application
to the order of the Minister
health and
social development
Republic of Kazakhstan
dated August 2, 2016 No. 683

Approved
by order of the Minister
health and social development
Republic of Kazakhstan
dated April 28, 2015 No. 274

Rules for Involving Independent Experts in the Conduct of External Expertise

Chapter 1. General Provisions

1. These Rules for the involvement of independent experts in the course of external expertise are developed in accordance with subparagraph 102-1) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 "On the health of the people and the healthcare system" (hereinafter referred to as the Code) and determine the procedure for attracting independent experts during the external examination.

2. The purpose of engaging independent experts is:

1) ensuring the rights of patients to receive medical care of the required volume and proper quality based on the optimal use of human, material and technical resources of healthcare entities and the use of modern medical technologies;

2) ensuring transparency and objectivity in assessing the activities of healthcare subjects, the competence of medical workers, qualification level specialists;

3) ensuring the relevance and validity of recommendations in the formation of general requirements for the provision of medical care to a patient with a specific disease or clinical situation.

3. Basic concepts used in these Rules:

1) the subject of healthcare of a healthcare organization, with the exception of organizations operating in the field of sanitary and epidemiological welfare of the population, as well as individuals engaged in private medical practice and pharmaceutical activities;

2) an individual - citizens of the Republic of Kazakhstan, citizens of other states, as well as stateless persons;

3) a legal entity, an organization that has separate property on the basis of the right of ownership, economic management or operational management and is liable for its obligations with this property, can acquire and exercise property and personal non-property rights and obligations on its own behalf, be a plaintiff and defendant in court;

4) examination of the quality of medical services (hereinafter - Expertise) - a set of organizational, analytical and practical measures carried out to draw an opinion on the level of quality of medical services provided by physical and legal entities, using indicators reflecting the indicator of efficiency, completeness and compliance of medical services with standards. Expertise is divided into internal and external;

5) independent examination - a procedure carried out by independent experts within the framework of external examination in order to make an opinion on the level of quality of medical services provided by healthcare entities, using indicators reflecting the indicator of efficiency, completeness and compliance of the medical services provided with standards;

6) an independent expert, an individual with a higher medical education and meeting the requirements for individuals applying for an independent examination by a certain authorized body.

4. Individuals and healthcare subjects receive information about independent experts from the data bank of accredited independent experts in the field of healthcare.

5. An independent expert is involved in the conduct of an external examination, taking into account his medical and pharmaceutical specialty.

6. Payment for services for conducting an independent examination is carried out on the basis of an act of work performed.

Chapter 2. Procedure for engaging independent experts during external expertise

7. Independent experts are involved when conducting an external examination of the activities of healthcare entities:

1) the authorized body and its territorial divisions;

2) healthcare subjects;

3) individuals or legal entities.

8. Independent experts during the external examination are involved:

1) by the authorized body and its territorial subdivisions during commission analysis in the following cases:

— carrying out inspections in the field of quality of medical services for compliance. activities of the audited entities to the requirements established by the legislation of the Republic of Kazakhstan;

– carrying out accreditation of healthcare entities in accordance with the order of the Minister of Health and Social Development of the Republic of Kazakhstan dated March 10, 2015 No. 127 “On Approval of the Rules for Accreditation in the Field of Healthcare” (registered in the Register of State Registration of Regulatory Legal Acts No. 10735);

— expertise of treated cases with lethal outcomes;

2) healthcare entities on a contractual basis;

3) individuals or legal entities in cases of disagreement with the conclusions of the external expertise.

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MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

ORDER

In accordance with Part 4 of Article 30 of the Federal Law of November 21, 2011 N 323-FZ "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation" (Sobranie Zakonodatelstva Rossiyskoy Federatsii, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442, 3446; 2013, N 27, art. 3459, 3477; N 30, art. 4038; N 39, art. 4883; N 48, art. 6165; N 52, art. 2930; N 30, art.4106, 4244, 4247, 4257; N 43, art.5798; N 49, art.6927, 6928; 2015, N 1, art.72, 85; N 10, art.1403, 1425 ; N 14, article 2018; N 27, article 3951; N 29, article 4339, 4356, 4359, 4397)

I order:

1. Approve the Procedure for organizing and implementing prevention in non-infectious medical organizations in accordance with the Appendix.

2. Exclude:

annexes N 1,, 9 of the order of the Ministry of Health and Social Development of the Russian Federation of August 19, 2009 N 597n "On the organization of the activities of health centers to promote a healthy lifestyle among citizens of the Russian Federation, including reducing the consumption of alcohol and tobacco" (registered by the Ministry of Justice of the Russian Federation on September 25, 2009, registration N 14871), as amended by orders of the Ministry of Health and Social Development of the Russian Federation of June 8, 2010 N 430n (registered by the Ministry of Justice of the Russian Federation on July 7, 2010, registration N 17754), dated April 19, 2011 year N 328n (registered by the Ministry of Justice of the Russian Federation on May 4, 2011, registration N 20656), dated September 26, 2011 N 1074n (registered by the Ministry of Justice of the Russian Federation on November 17, 2011, registration N 22330);

applications N 7, -27 of the Regulation on the organization of primary health care for the adult population, approved and social development of the Russian Federation of May 15, 2012 N 543n (registered by the Ministry of Justice of the Russian Federation on June 27, 2012, registration N 24726), as amended , introduced by order of the Ministry of Health of the Russian Federation of June 23, 2015 N 361n (registered by the Ministry of Justice of the Russian Federation on July 7, 2015, registration N 37921).

Minister
V.I. Skvortsova

Registered
at the Ministry of Justice
Russian Federation

registration N 39822

Application. The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations

Application
to the order of the Ministry
health care
Russian Federation

1. This Procedure establishes the rules for the organization and implementation of the prevention of non-communicable diseases, as well as the implementation of measures to promote a healthy lifestyle in medical organizations and other organizations engaged in medical activities (hereinafter referred to as medical organizations).

2. Prevention of non-communicable diseases is carried out at the population, group and individual levels by state authorities, local authorities, employers, medical organizations, educational organizations and sports organizations, public associations through the development and implementation of a system of legal, economic and social measures aimed at preventing the occurrence, spread and early detection of such diseases, as well as reducing the risk of their development, preventing and eliminating the negative impact on health of factors of internal and external environment, the formation of a healthy lifestyle.
________________
Part 2 of Article 30 of the Federal Law of November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165) ( hereinafter - Federal Law of November 21, 2011 N 323-FZ).

3. The formation of a healthy lifestyle among citizens, including minors, is ensured by carrying out activities aimed at informing citizens (legal representatives of persons specified in Part 2 of Article 20 of the Federal Law of November 21, 2011 N 323-FZ) about risk factors for their health, the formation of motivation to maintain a healthy lifestyle and the creation of conditions for maintaining a healthy lifestyle, including for physical education and sports.
________________
Part 3 of Article 30 of the Federal Law of November 21, 2011 N 323-FZ.

4. Prevention of non-communicable diseases is ensured by:

1) development and implementation of programs for the formation of a healthy lifestyle and the prevention of non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription;

2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or a high risk of their development.

5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following activities:

1) carrying out activities for hygiene education, information and communication activities for maintaining a healthy lifestyle, preventing non-communicable diseases and the consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, determining the degree of their severity and health hazard;
________________
Appendix N 2 to the Procedure for conducting medical examinations for certain groups of the adult population, approved

3) provision of medical services for the correction (elimination or reduction of the level) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor's prescription to a psychiatrist-narcologist of a specialized medical organization or other medical organization providing drug treatment;

4) medical examination and preventive medical examinations;
________________
Order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an "On approval of the Procedure for conducting medical examinations for certain groups of the adult population" (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268), order of the Ministry of Health of the Russian Federation of December 6, 2012 N 1011n "On Approval of the Procedure for Conducting a Preventive Medical Examination" (registered with the Ministry of Justice of the Russian Federation on December 29, 2012, registration N 26511), Order of the Ministry of Health of the Russian Federation of December 21, 2012 N 1346n "On the Procedure for Underage Medical Examinations, including including upon admission to educational institutions and during the period of study in them "(registered with the Ministry of Justice of the Russian Federation on April 2, 2013, registration N 27961), order of the Ministry of Health of the Russian Federation of February 15, 2013 N 72n "On conducting medical examination of orphans and children in difficult life situations staying in hospitals" (registered with the Ministry of Justice of the Russian Federation on April 2, 2013, registration N 27964), order of the Ministry of Health of the Russian Federation of April 11, 2013 N 216n "On approval Procedure for medical examination of orphans and children left without parental care, including those adopted (adopted), taken under guardianship (guardianship), in a foster or foster family "(registered with the Ministry of Justice of the Russian Federation on May 21, 2013, registration N 28454) .

5) dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases.
________________
Order of the Ministry of Health of the Russian Federation of December 21, 2012 N 1344n "On approval of the Procedure for dispensary observation" (registered with the Ministry of Justice of the Russian Federation on February 14, 2013, registration N 27072), order of the Ministry of Health of the Russian Federation of December 21, 2012 N 1348n " On approval of the procedure for underage dispensary observation, including during the period of education and upbringing in educational institutions" (registered with the Ministry of Justice of the Russian Federation on March 28, 2013, registration N 27909).

6. Medical assistance for the identification and correction of risk factors for the development of non-communicable diseases, early detection of non-communicable diseases and dispensary observation for non-communicable diseases is provided in accordance with the procedures for providing medical care and based on standards of medical care.

7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations are carried out as part of the provision of primary health care, including primary pre-hospital health care, primary medical health care, primary specialized health care, as well as specialized medical care and spa treatment.

8. Medical care for the prevention of non-communicable diseases is provided under the following conditions:

1) on an outpatient basis (in conditions that do not provide for round-the-clock medical supervision and treatment), including at home when a medical worker is called;

2) in a day hospital (in conditions that provide for medical supervision and treatment in the daytime, but do not require round-the-clock medical supervision and treatment);

3) stationary (in conditions that provide round-the-clock medical supervision and treatment).

9. As part of the provision of primary pre-medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by paramedics and other medical workers with a secondary medical education in the direction of medical workers or with the individual's request.

10. The paramedic (nurse) of the feldsher-midwife station and the feldsher health center in the implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, sends, if there are medical indications, to a specialist doctor providing primary medical health care, to the department (office) of medical prevention, a health center, a medical care cabinet for cessation of tobacco consumption;

2) participates in the organization and conduct of medical examinations and preventive medical examinations;

3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases;

4) develops and implements measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent the harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor's prescription;

11. As part of the provision of primary medical care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by general practitioners, district general practitioners, general practitioners (family doctors), pediatricians, district pediatricians in the direction of medical workers or when a citizen applies independently.

12. General practitioner (district general practitioner, general practitioner (family doctor), pediatrician, district pediatrician) when implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, including in the form of a brief preventive counseling, timely diagnosis of non-communicable diseases, sends, if necessary, to the department (office) of medical prevention, a health center, a medical aid office for quitting tobacco consumption, feldsher health center and feldsher-obstetric station, as well as to specialist doctors according to the profile of the identified disease (condition) and risk factor;

2) organizes and participates in medical examinations and preventive medical examinations;

3) organizes and conducts dispensary observation of patients with non-communicable diseases, sends persons with a high risk of developing cardiovascular diseases under dispensary supervision of medical workers of the department (office) of medical prevention, a health center, specialized medical organizations, feldsher health posts and feldsher-obstetric stations, keeps records of the passage of dispensary examinations by citizens of other medical specialists;

4) takes part in the development and implementation of measures to inform and motivate citizens, including minors, to maintain a healthy lifestyle and prevent non-communicable diseases, reduce the risk of harmful alcohol consumption and the use of narcotic drugs and psychotropic substances without a doctor's prescription;

5) provides information to citizens about the need for urgent medical attention in case of life-threatening conditions, diseases and their complications, as well as training of persons at high risk of developing life-threatening conditions and their families on the rules of first aid for these conditions.

13. As part of the provision of primary specialized health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by specialist doctors according to the profile of medical care provided by medical workers or when a citizen independently applies, as well as in the process of dispensary observation of patients with non-communicable diseases.

14. As part of the provision of specialized medical care, specialist doctors carry out the prevention of non-communicable diseases according to the profile of a medical organization (its structural unit), as well as inform about maintaining a healthy lifestyle and correcting the main risk factors for the development of non-communicable diseases. If necessary, for this purpose, a citizen is sent to a doctor for medical prevention of a medical organization providing specialized medical care.

15. Within the framework of sanatorium-resort treatment, medical specialists of sanatorium-resort organizations identify the main risk factors for the development of non-communicable diseases and correct them, including in the form of individual in-depth preventive counseling or group preventive counseling, carry out the prevention of non-communicable diseases according to the profile of sanatorium-resort organization and information about maintaining a healthy lifestyle.

16. The organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by medical organizations and their structural divisions in accordance with Annexes No. 1-9 to this Procedure.

Appendix N 1. Rules for organizing the activities of the department (office) of medical prevention for adults

Appendix No. 1

prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in

order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Rules for organizing the activities of the department (office) of medical prevention for adults

1. These Rules determine the procedure for organizing the activities of the department (office) of medical prevention for adults.

2. The department (office) of medical prevention for adults is a structural subdivision of a medical organization or other organization engaged in medical activities, providing primary health care (hereinafter referred to as a medical organization).

3. In a medical organization with an attached adult population of 20 thousand people or more, it is recommended to create a medical prevention department for adults, and with an attached adult population of less than 20 thousand people, it is recommended to create a medical prevention cabinet for adults.

4. A doctor-specialist who has a higher education in the specialties "General Medicine", "Pediatrics", "Medical and Preventive Care", "Dentistry", who has been trained in additional professional advanced training programs on issues of prevention of non-communicable diseases and the formation of a healthy lifestyle.

5. A medical worker with a higher education in the specialties (training areas) "General Medicine", "Pediatrics", "Medical and Preventive Care", "Dentistry", "Nursing", who has been trained on additional professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle.

A medical worker who has a secondary vocational (medical) education in the specialties "nursing", "obstetrics", "general medicine", who has been trained in additional professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle.

7. The structure and staffing of the department (office) of medical prevention for adults are established by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 2 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy image life in medical organizations, approved by this order.

8. To organize the work of the department of medical prevention for adults, it is recommended to provide the following structural units in its structure:

1) an office for organizing medical examinations and preventive medical examinations;

2) an office for diagnosing and correcting the main risk factors for the development of non-communicable diseases;

3) an office of population methods of prevention.

9. If it is not possible to allocate separate premises for structural subdivisions of the department of medical prevention, as well as when organizing a medical prevention room for adults, it is recommended to provide for zoning of premises for organizing medical examinations and preventive medical examinations, diagnosing and correcting risk factors for the development of non-communicable diseases.

10. Equipping the department (office) of medical prevention for adults is carried out in accordance with the equipment standard established by Appendix No. 3 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations, approved by this order.

11. The main functions of the department (office) of medical prevention for adults are:

1) taking measures to prevent non-communicable diseases, including those that are the main cause of disability and mortality of the population;

2) organization and participation in medical examinations and preventive medical examinations of the adult population;

3) participation in informing citizens who are on medical care in a medical organization about conducting medical examinations and preventive medical examinations, about their goals and objectives, conducting explanatory work and motivating citizens to undergo medical examinations and preventive medical examinations;

4) maintaining medical records and performing individual medical studies during medical examinations and preventive medical examinations;

5) determination (diagnosis) of risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, identifying violations of the basic conditions for maintaining a healthy lifestyle;

6) taking measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption, citizens, including citizens with II and III groups of health status (in the direction of a medical worker, as part of the second stage of medical examination);
________________
, approved by order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268).

7) referral of patients, if necessary, to specialist doctors, including referral of citizens with tobacco dependence to the offices for providing medical care for cessation of tobacco consumption, and citizens with identified harmful alcohol consumption or the risk of using narcotic drugs and psychotropic substances to a specialized psychiatrist-narcologist medical organization providing drug treatment;

8) dispensary observation, including the prescription of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases;

9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

11) reporting in the prescribed manner, collection and provision of primary data on medical activities for information systems in the field of health care, including control, recording and analysis of the results of medical examinations and preventive medical examinations;
________________
(Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165; 2014, N 30, Art. 4257) (hereinafter - Federal Law of November 21, 2011 N 323-FZ).

.

12) organizing and participating in events to promote a healthy lifestyle among the population, including within the framework of mass actions and information campaigns, as well as informing the population, including the media, about methods for correcting risk factors for non-communicable diseases and preventing their complications;

13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription.

Annex N 2. Recommended staffing standards of the department (office) of medical prevention for adults

Appendix No. 2
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Appendix N 3. Standard for equipping a department (office) of medical prevention for adults

Appendix No. 3
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Standard for equipping a department (office) of medical prevention for adults

Annex N 4. Rules for organizing the activities of the health center

Appendix No. 4
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Rules for organizing the activities of the health center

1. These Rules determine the procedure for organizing the activities of a health center providing medical care for the prevention of non-communicable diseases to the adult population (hereinafter referred to as the Center).

2. The Center is a structural subdivision of a medical organization or other organization carrying out medical activities (hereinafter referred to as a medical organization). The center is recommended to be created on the basis of at least 200 thousand people.

3. A specialist doctor who has a higher education in the specialties of "General Medicine", "Pediatrics", "Medical and Preventive Care", "Dentistry", who has been trained in additional professional advanced training programs on the prevention of non-communicable diseases and formation of a healthy lifestyle.

4. A doctor-specialist with a higher education who has been trained in additional professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle is appointed to the position of a doctor for medical prevention.

5. The structure and staffing of the Center are approved by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 5 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle for adults in medical organizations, approved by this order.

6. To organize the work of the Center, it is recommended to provide the following structural units in its structure:

1) doctor's office;

2) an office for group preventive counseling (patient schools);

3) testing rooms, instrumental and laboratory examinations;

4) dental hygienist's office;

5) an office of physiotherapy exercises;

6) Healthy food cabinet.

7. The equipment of the Center is carried out in accordance with the equipment standard established by Appendix No. 6 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle for adults in medical organizations, approved by this order.

8. The main functions of the Center are:

1) participation in the provision of primary health care to the adult population;

2) conducting a survey of citizens in order to assess the functional and adaptive health reserves, identify risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, health prognosis, including the determination of anthropometric parameters, screening assessment of the level of psychophysiological and somatic health, functional and adaptive reserves of the body, express assessment of the state of the cardiovascular system, assessment of function indicators respiratory system, organ of vision, detection of pathological changes in teeth, periodontal diseases and oral mucosa;

3) individual consultation of citizens on the issues of maintaining a healthy lifestyle, including recommendations on rational nutrition, physical activity, physical culture and sports, sleep patterns, living conditions, work (study) and rest, mental hygiene and stress management, prevention of risk factors for the development of non-communicable diseases, responsible attitude to their health and the health of their family members, the principles of responsible parenthood;

4) taking measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption, for citizens, including citizens with II and III health status groups (in the direction of a medical worker, as part of the second stage of medical examination);
________________
Clause 17 of the Procedure for conducting medical examinations for certain groups of the adult population, approved by order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an (registered with the Ministry of Justice of the Russian Federation on February 27, 2015, registration N 36268).

5) referral of patients, if necessary, to specialist doctors, including referral of citizens with tobacco addiction to the office for providing medical care for cessation of tobacco consumption, and citizens with an identified risk of harmful alcohol consumption or the risk of using narcotic drugs and psychotropic substances to a psychiatrist-narcologist a specialized medical organization or other medical organization providing narcological assistance;

6) individual in-depth preventive counseling on healthy nutrition, including an assessment of actual nutrition, an in-depth examination of the composition of tissues and the basic metabolism of the human body, the provision of medical care to optimize the mass and composition of tissues of the human body, correct nutritional disorders;

7) participation in medical examinations and preventive medical examinations;

8) dispensary observation, including the prescription of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases;

9) organizing and holding events to inform and motivate citizens to lead a healthy lifestyle (including in work and educational teams), including balanced diet, increased physical activity, reduced stress, cessation of tobacco consumption, harmful alcohol consumption, as well as the use of narcotic drugs and psychotropic substances without a doctor's prescription;

10) training citizens in the rules of first aid for life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accident, acute heart failure, sudden cardiac death), including individual and / or group training of persons at high risk of developing these life-threatening conditions, and members of their families;

11) informing the doctors of the medical organization, within which the Center is organized, about cases of identifying citizens with a high risk of developing cardiovascular diseases;

12) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

13) analysis of the prevalence of risk factors for the development of non-communicable diseases, indicators of morbidity, disability and mortality of the population from these diseases;

14) organizing and participating in activities to promote a healthy lifestyle, including propaganda aimed at stopping tobacco consumption, the harmful use of alcohol and the use of narcotic drugs and psychotropic substances without a doctor's prescription among the population;

15) participation in the development and implementation of measures for the prevention of non-communicable diseases and the formation of a healthy lifestyle;

16) submission of reports in the prescribed manner, collection and provision of primary data on medical activities for information systems in the field of healthcare, including control, recording and analysis of the results of medical examinations and preventive medical examinations.
________________
Clause 11 of Part 1 of Article 79 of the Federal Law of November 21, 2011 N 323-FZ "On the Basics of Protecting the Health of Citizens in the Russian Federation" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165 ; 2014, N 30, art. 4257) (hereinafter - the Federal Law of November 21, 2011 N 323-FZ).

Part 1 of Article 91 of the Federal Law of November 21, 2011 N 323-FZ.

Appendix No. 5
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

________________
If there is a healthy nutrition cabinet in the structure of the health center, an additional position of a doctor for medical prevention is introduced.

Subject to training on the assessment of indicators of visual function.

Appendix N 6. Standard for equipping a health center

Appendix No. 6
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Health center equipment standard

Appendix N 7. Rules for organizing the activities of the center for medical prevention

Appendix No. 7
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Rules for organizing the activities of the center of medical prevention

1. These Rules establish the procedure for organizing the activities of a medical prevention center.

2. The Center for Medical Prevention is an independent medical organization or a structural subdivision of a medical organization or other organization engaged in medical activities (hereinafter referred to as a medical organization).

3. The regional (republican, regional, regional, district) center for medical prevention is an independent medical organization and coordinates and methodological support measures for the prevention of non-communicable diseases and the formation of a healthy lifestyle in the constituent entity of the Russian Federation.

4. For the position of the head of the center for medical prevention, which is an independent medical organization, a specialist is appointed who meets the qualification requirements established by the qualification characteristics of the position " chief physician <*>(president, director, head, manager, head) of a medical organization".
________________
Order of the Ministry of Health and Social Development of the Russian Federation of July 23, 2010 N 541n "On Approval of the Unified Qualification Handbook for the Positions of Managers, Specialists and Employees, Section" Qualification Characteristics of the Positions of Employees in the Health Sector" (registered with the Ministry of Justice of the Russian Federation on August 25, 2010, registration N 18247).

5. The position of head of the center for medical prevention, which is a structural subdivision of a medical organization, is assigned to a medical worker with a higher education in the specialties (training areas) "General Medicine", "Pediatrics", "Medical and Preventive Care", "Dentistry", "Nursing business", trained in additional professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle.

6. A doctor-specialist with a higher education, trained in additional professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle, is appointed to the position of a doctor for medical prevention.

7. The structure and staffing of the medical prevention center are established taking into account the recommended staffing standards established by Appendix No. 8 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations, approved by this order.

8. To organize the work of the center of medical prevention in its structure, it is recommended to provide:

1) department interdepartmental relations and comprehensive prevention programs;

2) department of organizational and methodological support of preventive work;

3) department for the preparation and dissemination of medical information materials;

4) health monitoring department;

5) advisory and health department;

6) department for organizing and conducting activities in the field of hygienic education and upbringing.

9. The equipment of the medical prevention center is carried out in accordance with the equipment standard established by Appendix No. 9 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations, approved by this order.

10. The main functions of the medical prevention center are:

1) development and implementation of measures and programs for the prevention of non-communicable diseases, the promotion of a healthy lifestyle, including the cessation of tobacco consumption, the harmful use of alcohol and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription;

2) organizational and methodological support of the work of departments (rooms) of medical prevention, health centers and other structural units of medical organizations on the prevention of non-communicable diseases and the formation of a healthy lifestyle, including for minors;

3) preparation of information materials on the prevention of non-communicable diseases, the formation of a healthy lifestyle, as well as the rules for providing first aid for life-threatening diseases and conditions;

4) analysis of the dynamics of morbidity, hospital and out-of-hospital mortality of the population from non-communicable diseases (based on medical statistics);

5) monitoring and analysis of prevalence rates and awareness of the population about the main risk factors for non-communicable diseases, about the dangers of using narcotic drugs and psychotropic substances without a doctor's prescription;

6) analysis and evaluation of the work of medical organizations on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

7) organizing and conducting lectures, training and methodical lessons with medical workers on issues of individual in-depth preventive counseling or group preventive counseling (patient school);

8) methodological support for interdepartmental interaction on the issues of strengthening and maintaining the health of the population, participation in the development and implementation of activities and programs to increase the level of knowledge of employees of educational organizations, cultural organizations, physical culture organizations, the media, and other organizations on the prevention of non-communicable diseases and the formation of a healthy lifestyle;

9) organization and participation in the holding mass events, shares, round tables, conferences, public hearings on the prevention of non-communicable diseases and the formation of a healthy lifestyle, assistance in the practical implementation of the decisions taken at them;

10) implementation in practice modern achievements in the field of prevention of non-communicable diseases and the formation of a healthy lifestyle, as well as methods of training and raising the awareness of the population on these issues, analyzing the effectiveness of their application;

11) participation in international and Russian projects in the field of prevention of non-communicable diseases and the formation of a healthy lifestyle;

12) diagnosis and correction of risk factors for the development of non-communicable diseases;

13) maintaining medical records and reporting in the prescribed manner, collecting and providing primary data on medical activities for information systems in the field of healthcare, including monitoring, recording and analyzing the results of medical examinations and preventive medical examinations.
________________
Clause 11 of Part 1 of Article 79 of the Federal Law of November 21, 2011 N 323-FZ "On the Basics of Protecting the Health of Citizens in the Russian Federation" (Sobraniye Zakonodatelstva Rossiyskoy Federatsii, 2011, N 48, Art. 6724; 2013, N 48, Art. 6165 ; 2014, N 30, art. 4257) (hereinafter - the Federal Law of November 21, 2011 N 323-F3).

Part 1 of Article 91 of the Federal Law of November 21, 2011 N 323-FZ.

11. The Center for Medical Prevention can be used as a clinical base for educational and scientific organizations implementing professional educational programs in medical education.
________________
(Sobraniye zakonodatelstva Rossiyskoy Federatsii, 2012, N 53, art. 7598).
________________
*Probably an original error. Should read "December 29, 2012". - Database manufacturer's note.

Appendix N 8. Recommended staffing standards for the center of medical prevention

Appendix No. 8
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Note:

The number of other positions (public relations specialist, sociologist, psychologist (educator-psychologist), editor, correspondent, photographer, computer graphics artist, software engineer (software technician), operator of electronic computing and computers, an operator of electronic typing and layout, a flat-print printer, and others) is established by the head of a medical organization, depending on specific working conditions and the amount of work.

Appendix N 9. Standard for equipping a medical prevention center

Appendix No. 9
to the Procedure for organizing and implementing
prevention of non-communicable
diseases and activities
formation of a healthy lifestyle in
medical organizations, approved
order of the Ministry of Health
Russian Federation
dated September 30, 2015 N 683н

Equipment standard for a medical prevention center

Electronic text of the document
prepared by Kodeks JSC and verified against:
Official Internet portal
legal information
www.pravo.gov.ru, November 27, 2015,
N 0001201511270031

Order Federal Service for Environmental, Technological and Nuclear Supervision
dated July 13, 2006 N 683

On the organization of control over the procedures for the preparation and issuance of licenses in an automated mode

In order to increase the effectiveness of control over the activities for the preparation of licenses in the central office and territorial bodies of the Federal Service for Ecological, Technological and Nuclear Supervision (hereinafter referred to as Rostekhnadzor), I order:

1. Approve the forms for submitting information on the progress of registration and registration of applications of license applicants, review of documents submitted for obtaining licenses, registration and registration of licenses, as well as refusals to grant licenses and determine the departments of the central office of Rostechnadzor responsible for the accuracy, completeness and timeliness of entering information in the approved forms N 1L and N 2L ().

2. Approve the "Schedule of works for the creation and commissioning of the functional task of the state automated information and control system for regulating industrial safety (AIS PB)" Monitoring of work with applications from license applicants "designed for automated collection and processing of information in accordance with the approved forms N 1L and N 2L ().

3. Heads of departments of the central office and heads of territorial bodies for technological and environmental supervision of Rostechnadzor:

3.1. ensure the continuous operation of the functional task "Monitoring of work with applications of license applicants";

3.2. before January 1, 2007, send comments and proposals on further development and improvement of the specified functional task.

4. Until July 31, 2006, the Interregional Territorial District for Informatization and Information Protection (MTOIZI, A.N. Chelyshev) shall create an archive of licenses for 2006 in the field of the use of atomic energy that fall within the competence of Rostekhnadzor. Complete all work on the formation of a complete archive of licenses in the field of the use of atomic energy by December 31, 2006.

5. To the Department of Organizational and Legal Support for Regulatory Activities (V.V. Kochemasov) to summarize the comments and proposals of the divisions on the functional task "Monitoring of work with applications of license applicants" and, by February 1, 2007, submit to the leadership of Rostechnadzor consolidated proposals for the further development and improvement of this functional tasks.

6. MTOIZI, together with the Office of Legal Support, by August 1, 2006, submit proposals for the creation of tools for automated control of the procedures for preparing permits issued by Rostekhnadzor () and the conclusions of the state environmental review.

7. I entrust the control over the implementation of this order to the Deputy Head of Rostekhnadzor K.L. Seagull.

Head K.B. Pulikovsky

Appendix No. 2

Work schedule for the creation and commissioning of the functional task of the AIS PB "Monitoring of work with applications of license applicants"

Symbols - see this order.

Appendix No. 3

Types of permits issued by Rostekhnadzor

The structure of the order (application) Appendix "The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations" (hereinafter referred to as the Procedure). Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

Annex "Procedure for the organization and implementation of the prevention of non-communicable diseases ..." 1. Levels of prevention of non-communicable diseases - population, group and individual. 2. Who carries out prevention (state authorities, local governments, employers, medical organizations, educational organizations and sports organizations, public associations). Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

4. Prevention of non-communicable diseases is ensured by: 1) development and implementation of programs for the formation of a healthy lifestyle and the prevention of non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription; 2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or a high risk of their development. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following activities: substances without a doctor's prescription; 2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, determining the degree of their severity and health hazard; 3) provision of medical services for the correction (elimination or reduction of the level) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription to a doctor - psychiatrist - narcologist of a specialized medical organization or other medical organization providing drug addiction assistance; 4) medical examination and preventive medical examinations; 5) dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations are carried out as part of the provision of primary health care, including primary pre-hospital health care, primary medical health care, primary specialized health care, as well as specialized medical care and sanatorium treatment. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

8. Medical assistance for the prevention of non-communicable diseases is provided in the following conditions: 1) on an outpatient basis (in conditions that do not provide for round-the-clock medical supervision and treatment), including at home when a medical worker is called; 2) in a day hospital (in conditions that provide for medical supervision and treatment in the daytime, but do not require round-the-clock medical supervision and treatment); 3) stationary (in conditions that provide round-the-clock medical supervision and treatment). Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

10. The paramedic (nurse) of the feldsher - obstetric station and the feldsher's health center in the implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle: 1) identifies and corrects the main risk factors for the development of non-communicable diseases, directs, if there are medical indications, to a specialist doctor providing primary medical health care, to the department (office) of medical prevention, health center, medical care office for cessation of tobacco consumption; 2) participates in the organization and conduct of medical examinations and preventive medical examinations; 3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases; 4) develops and implements measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent the harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor's prescription; 5) provides information to citizens about the need for urgent medical attention in case of life-threatening conditions, diseases and their complications, as well as training of persons at high risk of developing life-threatening conditions and their families on the rules of first aid for these conditions. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

11. As part of the provision of primary medical and sanitary care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by general practitioners, district physicians, general practitioners (family doctors), pediatricians, district pediatricians in the direction of medical workers or when a citizen applies independently. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

16. The organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by medical organizations and their structural divisions in accordance with Annexes No. 1-9 to this Procedure. appendices N 1-9 Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "The procedure for organizing and implementing the prevention of non-communicable diseases ...."

The structure of the order (application) Appendix 1 to the Procedure "Rules for organizing the activities of the department (office) of medical prevention for adults. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

Appendix 1 to the Procedure "Rules for organizing the activities of the department (cabinet) of medical prevention for adults" 1. These Rules determine the procedure for organizing the activities of the department (cabinet) of medical prevention for adults. 2. The department (office) of medical prevention for adults is a structural subdivision of a medical organization or other organization engaged in medical activities, providing primary health care (hereinafter referred to as a medical organization). 3. In a medical organization with an attached adult population of 20 thousand people or more, it is recommended to create a medical prevention department for adults, and with an attached adult population of less than 20 thousand people, it is recommended to create a medical prevention cabinet for adults. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

A medical worker with a higher education in the specialties (training areas) "general care", "pediatrics", "medical and preventive care", "stomatology", "nursing" who has completed additional training professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle. A medical worker with a secondary vocational (medical) education in the specialties "nursing", "obstetrics", "medical business" who has been trained in additional professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

7. The structure and staffing of the department (office) of medical prevention for adults are established by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 2 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy image life in medical organizations, approved by this order. Appendix N 2 Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

8. To organize the work of the department of medical prevention for adults, it is recommended to provide the following structural units in its structure: 1) an office for organizing medical examinations and preventive medical examinations; 2) an office for diagnosing and correcting the main risk factors for the development of non-communicable diseases; 3) an office of population methods of prevention. 9. If it is not possible to allocate separate premises for structural subdivisions of the department of medical prevention, as well as when organizing a medical prevention room for adults, it is recommended to provide for zoning of premises for organizing medical examinations and preventive medical examinations, diagnosing and correcting risk factors for the development of non-communicable diseases. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

10. Equipping the department (office) of medical prevention for adults is carried out in accordance with the equipment standard established by Appendix No. 3 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations, approved by this order. Appendix N 3 Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

11. The main functions of the department (office) of medical prevention for adults are: 1) carrying out measures to prevent non-communicable diseases, including those that are the main cause of disability and mortality of the population; 2) organization and participation in medical examinations and preventive medical examinations of the adult population; 3) participation in informing citizens who are on medical care in a medical organization about conducting medical examinations and preventive medical examinations, about their goals and objectives, conducting explanatory work and motivating citizens to undergo medical examinations and preventive medical examinations; 4) maintaining medical records and performing individual medical studies during medical examinations and preventive medical examinations; 5) determination (diagnosis) of risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, identifying violations of the basic conditions for maintaining a healthy lifestyle; 6) taking measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption, citizens, including citizens with II and III groups of health status * (in the direction of a medical worker, as part of the second stage of medical examination); * Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

11. The main functions of the department (office) of medical prevention for adults are (continued): alcohol consumption or the risk of using narcotic drugs and psychotropic substances to a doctor - psychiatrist - narcologist of a specialized medical organization providing drug treatment; 8) dispensary observation, including the prescription of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases; 9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle; 10) teaching citizens the rules of first aid in case of life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accident, acute heart failure, sudden cardiac death), including individual and / or group training of persons with a high risk of developing these life-threatening conditions, and members of their families; 11) reporting in the prescribed manner **, collection and provision of primary data on medical activities for health information systems ***, including control, recording and analysis of the results of medical examinations and preventive medical examinations; ** *** 12) organization and participation in activities to promote a healthy lifestyle among the population, including as part of mass actions and information campaigns, as well as informing the population, including the media, about methods for correcting risk factors for non-communicable diseases and prevention of their complications; 13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

The structure of the order (application) Appendix 2 to the Procedure "Recommended staffing standards of the department (office) of medical prevention for adults". Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” ¹ These recommended staffing standards do not apply to medical organizations of the private healthcare system.

The structure of the order (application) Appendix 3 to the Procedure "Standard for equipping the department (office) of medical prevention for adults." Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

The structure of the order (application) Appendix 4 to the Procedure "Rules for organizing the activities of a health center". Annex 5 to the Procedure "Recommended staffing standards for a health center". Appendix 6 to the Order "Standard for equipping a health center". Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

The structure of the order (application) Appendix 7 to the Procedure "Rules for organizing the activities of the center of medical prevention". Annex 8 to the Order "Recommended staffing standards for the center of medical prevention". Annex 9 to the Order "Standard for equipping the center of medical prevention". Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."