What is a voucher for a completed case of temporary disability. List of primary medical documentation

Used in antenatal clinic

1. Outpatient medical record

2. Statistical coupon for registration of final (refined) diagnoses

3. Voucher for an appointment with a doctor

4. Outpatient voucher

5. Outpatient voucher (abbreviated version)

6. Unified outpatient ticket

7. Voucher for a completed case of temporary disability

8. Extract from the medical record of an outpatient, inpatient

10. Card of a patient in a day hospital of a polyclinic, a hospital at home, a day hospital in a hospital

11. Register of procedures

12. Control card of dispensary observation

13. Doctor's house call record book

14. Home birth log

15. Journal for recording the conclusions of the VKK

16. Coding ticket

17. Book of registration of certificates of incapacity for work

18. Log book of sanitary - educational work

19. Record sheet of visits to the polyclinic (outpatient clinic), dispensary, consultation and at home

20. Record of visits to the average medical staff health center, FAP, collective farm maternity hospital

21. Pre-appointment card for an appointment with a doctor

22. Card of the patient being treated in the physiotherapy room

23. Card of the patient being treated in the physiotherapy department (office)

24. Journal of X-ray examinations

25. Emergency notification of infectious disease, food poisoning, acute occupational poisoning, unusual reaction to vaccination

26. Warning to a person with a venereal disease

27. Journal of recording outpatient operations

28. Certificate for obtaining a ticket to a sanatorium-resort institution, rest house, boarding house, camp site

29. Health resort card for adults and teenagers

30. Journal of registration of outpatients

31. Notebook for recording pregnant women under the supervision of the FAP, collective farm maternity hospitals

32. Medical conclusion on the transfer of a pregnant woman to another job

33. Book of records of the work of a senior legal adviser, legal adviser of health institutions

35. Notification of a patient diagnosed with active tuberculosis, syphilis, gonorrhea, trichomoniasis, chlamydia, urogenital herpes, anogenital (venereal) warts, microsporia, favus, trichophytosis, mycosis of the feet, scabies, trachoma

36. Notification of a patient diagnosed with cancer or other malignant disease for the first time in his life

37. Certificate of temporary disability due to domestic injury, abortion operation

38. Recipe

39. Prescription for the right to receive a medicine containing narcotic substances (special prescription form)

40. Individual card of a pregnant woman and a puerperal

41. Exchange card of the maternity hospital, maternity ward of the hospital

42. Notebook of work at home district (patronage) nurse(midwives)

43. Journal of registration of studies performed in the department (office) of functional diagnostics

46. Referral for biochemical analysis of blood, plasma, serum, urine, cerebrospinal fluid

48. Referral for a blood test for Rh-affiliation and Rh-antibodies and the result of the study

49. Journal of registration of serological studies

50. Certificate of incapacity for work

Socio-legal assistance

The provision of social and legal assistance in antenatal clinics is one of the links in the system of measures for the protection of motherhood and childhood. This work is carried out by a legal adviser who reports directly to the head of the institution. The legal adviser organizes his work in accordance with the current legislation.

The position of a legal adviser is provided for in antenatal clinics with a number of medical posts from 11 and 0.5 positions for antenatal clinics from 5 to 10 medical posts (Order of the Ministry of Health of Russia dated May 22, 01 N 165 "On approval of staffing standards for employees and workers of health care institutions and employees of centralized accounting departments at healthcare institutions. Does not need state registration; letter of the Ministry of Justice of Russia dated 02.07.2001 N 07 / 6619-YUD). At the same time, the head of the institution may introduce the position of this specialist to the consulting staff of any capacity.

The days and hours of work of the legal adviser should be known to women and professionals. The work is individual, sometimes group. Women can be referred to legal counsel by OB/GYNs and other specialists, or they can apply on their own.

information about patients and decisions taken are entered in the "Book of records of the work of the senior legal adviser, legal adviser of the health institution".

In the antenatal clinic, special stands can be created or group discussions on legal issues can be organized.

The legal adviser draws up annual reports on his activities and submits them to the head of the institution.

Chapter 5. Procedure for Entry into Force of this Federal Law
Article 17
Preservation of previously acquired rights when determining the amount of temporary disability benefits and the duration of the insurance period

90 1. Establish that citizens who have started work on employment contract, official or other activities during which they are subject to compulsory social insurance, before January 1, 2007 and who before January 1, 2007 were entitled to receive temporary disability benefits in the amount (as a percentage of average earnings) exceeding the amount of the benefit ( as a percentage of average earnings), which is due in accordance with this
By federal law, temporary disability benefits are assigned and paid in the same higher amount (as a percentage of average earnings), but not higher than established in accordance with this Federal Law maximum size temporary disability benefits.
2. In the event that the duration of the insurance period of the insured person, calculated in accordance with this Federal Law for the period before January 1, 2007, turns out to be less than the duration of his continuous work experience used when assigning temporary disability benefits in accordance with the previously applicable regulatory legal acts, for the same period, the length of the insurance period is taken as the duration of the continuous work experience of the insured person.
Article 18
Application of this Federal Law to insured events that occurred before and after the day of its entry into force
1. This Federal Law applies to insured events that occur after the day this Federal Law enters into force.
2. For insured events that occurred before the day this Federal Law came into force, benefits for temporary disability, for pregnancy and childbirth are calculated in accordance with the norms of this Federal Law for the period after the day it comes into force, if the amount of the benefit calculated in accordance with this Federal Law by law, exceeds the amount of benefits due under the norms of the previous legislation.
Article 19
Entry into force of this Federal Law
1. This Federal Law shall enter into force on January 1, 2007.
2. From January 1, 2007, legislative acts and other regulatory legal acts of the Russian
Federations that provide for the conditions, amounts and procedure for providing benefits for temporary disability, for pregnancy and childbirth of citizens subject to compulsory social insurance, shall be applied to the extent not contradicting this federal law.
The president Russian Federation
V. Putin
Moscow Kremlin
December 29, 2006
N 255-FZ
SOCIAL INSURANCE FUND OF THE RUSSIAN FEDERATION
LETTER
dated April 15, 2004 N 02-10 / 07-1843
Fund social insurance The Russian Federation considered the appeal and informs.
In accordance with paragraph 27 of the Regulations on the procedure for providing state social insurance benefits, approved by the Decree Presidium of the All-Union Central Council of Trade Unions of November 12, 1984 N 13-6, temporary disability benefits are not paid if the disease or injury occurred as a result of intoxication or actions related to intoxication.
According to paragraph 10 of the Regulations on the Social Insurance Fund of the Russian Federation, approved by Decree of the Government of the Russian Federation of February 12, 1994 N 101, the administration of the insured person represented by the head and chief accountant is responsible for the correct calculation and expenditure of state social insurance funds.
At the same time, in accordance with clause 3.1 model provision on the commission (authorized) for social insurance, approved by the Social Insurance Fund of the Russian Federation
07/15/1994 N 556a, the social insurance commission has the right to take part in the clarification by the administration of the enterprise of the circumstances of injury at home.
As for the procedure for establishing a causal relationship between alcohol consumption and injury or illness, then, indeed, such a procedure is not regulated by the current regulatory legal acts. In this regard, if there is a note on the disability certificate about the fact of intoxication, the decision to pay or deprive the employee of temporary disability benefits is made by the insured in each specific case based on the actual circumstances, taking into account all available documents (certificates from medical institutions,

91 materials of the police, state traffic police, etc.), as well as explanations of the victim.
(FSS RF dated April 15, 2004 N 02-10/07-1843
benefits for state social insurance, approved. Decree of the Presidium of the All-Union Central Council of Trade Unions of November 12, 1984 N 13 -6>
Order of the Ministry of Health of the Russian Federation of October 28, 1996 N 366
"On the approval of medical documentation"
(The document has actually become invalid due to the publication of the Order of the Ministry of Health of the Russian Federation dated February 14, 1997 N 46,
which established that form N 025-9 / y-96 is not subject to application when transferring institutions
health care to work with the "Coupon of an outpatient" (account form N 025-10 / y-97).
In order to unify the formation of the state statistical report of the medical institution "Information on the causes of temporary disability" - form N 16-
VN affirm:
1. "Coupon for a completed case of temporary disability" - accounting form N 025-9 / y-96
(Appendix 1).
2. Instructions for filling out the "Coupon for the completed case of temporary disability"
(Appendix 2).
3. List of forms of primary medical documentation introduced by this order of the Ministry of Health
Russia (Appendix 3) I order:
1. Heads of territorial bodies and healthcare institutions of the subjects of the Russian
Federation to introduce the "Coupon for the completed case of temporary disability" - accounting form N
025-9 / y-96 to medical institutions (divisions) that receive, treat, monitor patients with the right to issue disability certificates.
2. Assign the methodological guidance on maintaining the "Talon for a completed case of temporary disability" to the Department of Medical Statistics and Informatics (Pogorelova E.I.).
3. To impose control over the execution of the order on the First Deputy Minister A.M. Moskvichev.
Minister T.V. Dmitrieva
Appendix N 1 to the order of the Ministry of Health of the Russian Federation of October 28, 1996 N 366
Medical documentation form N 025-9 / y-96
Ministry of Health
Russian Federation
__________________________
Name of institution
Ticket
for a completed case of temporary disability
1. Surname, name, patronymic ____________________________________________
2. Gender: male, female ____________________________________________
3. Date of birth _______________________________________________
4. Home address: ______________________________________________
5. Place of work: _________________________________________________
6. Final diagnosis: _______________________________________
________________________________________________________________
________________________________________________________________
7. Code of the disease ____________________________________________
8. Total number of days of incapacity for work in this case: ________________________________________________ date of completion Physician's signature

92
Appendix 2 to the order of the Ministry of Health of the Russian Federation of October 28, 1996 N 366
Filling instructions
"Coupon for a completed case of temporary disability"
"Coupon for a completed case of temporary disability" - form N 025-9 / y-96 is filled out by a doctor at the end of a case of temporary disability according to the "Outpatient Medical Card" - f. 025 / y, "Medical record of a student of a university, a student of a secondary specialized institution" - f. 025-3 / y, "Medical card of the child" - f. 026 / y, "Medical record of a patient with a venereal disease" - f. 065 / y, "Medical record of a patient with a fungal disease" - f. 065-1/y,
"Medical record of a patient with tuberculosis - f. 081 / y, "Individual card of a pregnant woman and puerperal woman" - f. 111 / y and other medical documentation approved by the Ministry of Health, in which a case of temporary disability is recorded.
Filling order
In line 1 - "Last name, first name, patronymic" - the full surname, first name, patronymic of the patient is entered; in line 2 - "Gender" is underlined "male", "female", respectively; in line 3 - "Date of birth" - the day, month, year of the patient's birth; in line 4 - "Home address" - the address of the place of residence (registration) of the patient is indicated; in line 5 - "Place of work" - the name of the enterprise where the patient works; in line 7 - "Final diagnosis" the diagnosis of the underlying disease (injury, etc.) is put down, which served as the main cause of temporary disability; in line 8 - "Code of the disease" - the code of the diagnosis of the underlying disease according to ICD-9 is affixed.
When determining the underlying disease, the following rules should be followed: a) in the presence of several diagnoses that have a causal relationship, the main one should be considered the diagnosis of the disease that is the cause of the remaining diseases indicated in the final diagnosis; b) in case of two or more independent diseases, the most severe and long-term one is considered to be the main one; c) if infectious is indicated among the diseases, then it is considered the main one, and of the two infectious
- epidemic; d) during surgical treatment, the disease that served as the reason for the operation is encrypted.
Line 9 - "Total number of days of disability in this case" - includes the total number of days of disability of the patient from all sick leave certificates for this case of temporary disability, regardless of which institutions they were issued.
Head of the Department of Medical Statistics and Informatics E.I. Pogorelova
Appendix 3 to the order of the Ministry of Health of the Russian Federation of October 28, 1996 N 366
Form List
primary medical documentation,
introduced by order of the Ministry of Health of Russia
October 28, 1996 N 366
Form name
N shape
Document type
Shelf life
1. Voucher for a completed case of temporary disability
025-9/u-95 form
1 year
Head of the Department of Medical Statistics and Informatics

93
Ministry of Health of the Russian Federation
ORDER No. 154
dated May 21, 2002
On the introduction of a form of accounting for clinical and expert work in medical institutions.
In order to improve the accounting of clinical and expert activities in medical institutions, its further assessment and analysis, and the creation of monitoring of the results of examinations
I ORDER:
1. Enter into force from June 1, 2002 the registration form No. 035 / y-02 "Journal of accounting for clinical and expert work of a medical institution" (Appendix No. 1)
2. Approve the instructions for filling out the registration form No. 035 / y-02 "Journal of accounting for clinical and expert work of a medical institution" (Appendix No. 2).
3. Heads of health authorities of the subjects of the Russian Federation to ensure the introduction of accounting form No. 035 / y-02 in medical institutions.
4. Department of organization and development medical care the population of the Ministry of Health of Russia to provide:
4.1. Methodological guidance on the introduction of accounting form No. 035 / y-02 "Journal of accounting for clinical and expert work of a medical institution";
4.2. Preparation before October 1, 2002, together with the Moscow Medical Academy.
THEM. Sechenov of the Ministry of Health of Russia guidelines on the organization of a system for recording, evaluating and analyzing the clinical and expert work of medical institutions.
5. Registration form No. 35 / y “Journal for recording the conclusions of the medical advisory commission”, approved by order of the USSR Ministry of Health dated 04.10.80 No. 1030, should be considered invalid in the territory
Russian Federation.
6. To impose control over the execution of this order on the First Deputy Minister of Health Vyalkov A.I.
Minister Yu.L. Shevchenko
Appendix 1
Ministry of Health
Russian Federation
___________________
Name of institution
Medical documentation
Form No. 035/u-02
Approved by order of the Ministry of Health
Russian Federation
No. 154 dated May 21, 2002
A4 format 96 sheets
Journal of accounting for clinical and expert work of a medical institution.
started _________ finished _______
No. p / p
Date of examination
Name of health facility. surname of the doctor who sent the patient for examination
Last name, first name. patronymic of the patient
The address
(or
No. of medical insurance policy or document) of the patient
Date of Birth
Gender Social status, profession
Reason for referral diagnosis
(main, accompanying in accordance with ICD-10
Characteristics of the examination case
Type and subject of expertise
(Affixed
No. L/N, number of days of incapacity for work, length of stay in health facilities, etc., depending on the type of examination)
1 2
3 4
5 6
7 8
9 10 11

94
Revealed during the examination
Substantiation of the conclusion.
Expert opinion, recommendations
Date of referral to the office
ITU or others
(specialized) institutions
Conclusion
ITU or others
(specialized) institutions
Date of receipt of the conclusion
ITU or other institutions, their duration
Additional information at the conclusion of others
(specialized) institutions.
Notes
The main composition of experts
Expert signatures
Deviation from standard
Defects, violations, errors, etc.
Achievement of the result of the stage or outcome of the treatment and preventive measure
12 13 14 15 16 17 18 19 20 21
Annex No. 2 to the order of the Ministry of Health of the Russian Federation dated May 21, 2002 No. 154
INSTRUCTIONS for filling out the registration form 035 / y-02 "Journal of accounting for clinical and expert work of a medical institution"
The register of clinical and expert activities in a medical institution is maintained (filled in) from the beginning calendar year. Responsible for maintaining the journal is the chairman of the clinical expert commission (CEC). The journal is kept for 5 years. It is filled in both in a handwritten way and with the help of office equipment (printouts from a printer if a software product is available).
Column 1. Ordinal number. It is filled in to take into account the number of examinations carried out; Numbering is best done in chronological order.
Column 2. Date of the examination. If the examination is carried out within one day. the date, month of the calendar year (10.08.01) is put down. If the examination is carried out within several days, then all dates from the beginning of the conduct are affixed.
For example; 02/01/01: 02/05/01: 03/10/01
Column 3. The name of the health facility or the names of the doctor * who sent the patient for examination.
The surname and initials of the attending physician who sent for the examination, or other doctors, are affixed
Health facilities that do not have UK. At the bottom of the column, the number of the section, department, or information for identification is hidden.
For example: Andreeva I.I.. No. 2,] TO (therapeutic department) Ivanov I.K. 3 XO
(surgical department)
By complaint Petrova N,I.
Column 4 - surname, initials of the patient. The surname and initials of the patient are indicated.
For example: Ivanov I.I.
Column 5. Address, or number of the insurance policy or medical document. You can use any information to identify the patient accepted in the health facility.
For example: st. Novaya 5, kv.20: p. floor. no. 14185544: outpatient card no. 4499/00
Column 6. Date of birth. The day, month and year of birth are indicated.
For example: 10.10.46,

95
Column 7. Gender. The gender of the patient is indicated: male - M, female - F.
Column 8. Social status, profession. Grouping of social status is carried out in 40 groups. For working patients, the profession must be indicated, for non-working patients - if necessary. In some cases, for the convenience of searching for preferential categories, they are distinguished by the letter "L".
If the patient has multiple social status, you can specify several.
Patient status name
short name
1. Working patient of working age, his profession Slave. tr. asc. - "electrician"
2. Non-working patient of working age
Not working tr. asc. - "housewife"
3. Pensioner by age, for length of service (working and non-working)
Penny. - "electrician", non-worker
4. Homeless
Bum
5. Patient of a free profession
PSP - "artist"
6. Disabled person due to a general disease of the 1st group
IZ-1 gr
7. Disabled person due to a general disease of the 2nd group
IZ-2 gr.
8. Disabled person due to a general disease of the 3rd group
IZ-3 gr.
9. Disabled BOB 1st group
IVOV-1 gr
10 Disabled WWII group 2
IVOV-2 gr
11. Disabled BOB 3 groups
IVOV-3 gr.
12. Participant of the Great Patriotic War with 1 group of a disabled worker (by illness).
UVOV with 1 gr. inv
13. Participant of the Great Patriotic War with the 2nd group of a disabled worker (by illness)
UVOV with 2 gr. nv.
14. Participant of the Great Patriotic War with the 3rd group of a disabled worker (by illness)
UVOV with 3 gr. inv
15 Disabled person of the 1st group, participant of the Chernobyl accident.
And 1 gr. CA
16 Disabled person of the 2nd group, participant of the Chernobyl accident.
And 2 gr.CHA
17. Disabled person of the 3rd group, participant of the Chernobyl accident.
And 3 gr. CA
18. Warrior-internationalist, disabled person of the 1st group.
VI-I 1 gr
19. Warrior-internationalist, disabled group 2
VI-I 2 gr.
20. Warrior-internationalist, disabled group 3
VI-I 3 gr
21. Disabled person of the 1st group for labor injury or profession. disease
And 1 gr. TU or PR.Z
22. Disabled person of the 2nd group for labor injury or profession.
disease
And 2 gr. TU or PR.Z.
23. Disabled person of the 3rd group for labor injury or profession.
disease
And 3 gr. TU or PR.Z
24. Disabled soldier of the 1st group
I-military 1 gr
25. Disabled soldier of the 2nd group
I-military 2 gr
26. Disabled soldier of the 3rd group
I-military 3 gr
27. Disabled childhood group I
ID 1 gr
28. Disabled childhood 2 groups
ID 2 gr.
29. Disabled childhood group 3
ID 3 gr.
30. Child with a disability
Reb-I
31. Member of B.O.B.
UVOV
32. Home front veteran
Vet. rear
32. International Warrior
Warrior-int
33 Participant in the liquidation of the Chernobyl accident
UL CH
34 Participant in the liquidation of the consequences of the Chernobyl accident
35 Rehabilitated
Reab
36 Blockade
Block.
37 Family member of fallen soldiers
Member of the FPV
39 High school or high school student Student
40 University student
Stud

96
Column 10 - Characteristics of the examination case. Expertise cases are grouped depending on the tasks, selection methods and established normative recommendations for conducting clinical and expert activities. Characteristics of the examination case. Short name. 1. Issuance of a primary certificate of incapacity for work (validity, registration, etc.): according to the disease of an adult
Perv. L/N zab. adult childcare
Perv. L/N child care for adult care
Perv. L/N adult care for spa treatment
Perv. L / N according to san-kur.lech for rehabilitation
Perv. L/N for rehab due to maternity leave
Perv. L/N by ber. and genus
For referral to special treatment
Perv. L/N according to spec. to go to bed due to transfer to another job
Perv. L/N on transfer due to quarantine
Perv. L / N for quarantine for prosthetics
Perv. L/N by protein other cases
Perv. L/N other case
2. Extension of the disability certificate (validity, execution, etc.):
According to the disease of an adult
Prod. L/N zab. adult after inpatient treatment
Prod, L/N after station
For child care
Prod. L/N baby care
adult care
Prod. L/N adult care
For spa treatment
Prod. L / N according to san-kur.lech for rehabilitation
Prod. L/N for rehab due to maternity leave
Prod. L/N by ber. and gender for referral to special treatment
Prod. L/N according to spec. to go to bed due to transfer to another job
Prod. L/N on transfer due to quarantine
Prod. L / N for quarantine for prosthetics
Prod. L/N by protein other cases
Prod. L/N other case
3. Primary referral to ITU bureau ITU
4. Re-examination (referral to bMSE): disabled people of group 1
ITU, Rev. I.1 disabled people of the 2nd group
ITU, Rev. I.2 disabled people of the 3rd group
ITU, Rev. I.3 5. Other cases of referral to the ITU bureau: after the extension of the ITU treatment (additional
ITU, dolech for the issuance of vehicles
ITU, means of transport to determine the social care home
ITU, home of social care for employment, training
ITU, labor education other medical and social issues
ITU, others
6. Cases of medical and social issues requiring the decision of the clinical expert commission or defined by regulatory legal acts: improvement living conditions
Right, oh lived. conditional academic leave
Right, academy. vacation registration of guardianship
Ref. Guardians exemption from final (current) examinations
Right, St. from exam

97 about the need for social or permanent home care
Right, home care
About fitness for management vehicles
Water honey. certificate of the right to bear arms
Ref. for weapons other cases (requests from the employment fund, courts)
Other references
7. Directed selection of cases for the control of diagnostic and treatment, preventive activities, as well as the examination of temporary disability or a case determined regulations: repeated case of incapacity for work during the year (for a long time and often ill)
DCB with deviations from indicative dates
(shortened or extended periods of time. Ease);
Off Terms of LN previously identified violations of the examination of temporary disability and others
Rep. FN control complex clinical expert case
Complicated clinic-exp. cl current (scheduled) treatment control
Current treat control case of discrepancies in diagnoses
Consumption d-call nosocomial infection (complication)
Int. infectious death
Years. outcome repeated hospitalization for one disease during the year
Rep. hospitalization cases with a deviation of the terms of stay for treatment, determined by regulatory enactments
Off terms to treat to determine preferential drug treatment
Preferential medicines
To determine costly treatment
Dear. treat a case of examination by dispensary groups
Group D-1, D-2, D.Z, other cases
Other
8. Cases of complaints by patients, their relatives or legal representatives Complaint
9. All other cases not included in the list. Other cases
For example: Prod. L / N after stationary;
ITU perv. consec.; years. Exodus.
Column 11. Type and subject of examination. (No. L / N, the number of days of incapacity for work, the length of stay in a medical facility are indicated depending on the type of examination).
This column is filled in depending on the main purpose of the examination; if the goals are approximately equivalent, then all are indicated. The information in column 11 is combined with the information on "examination case characteristics" in column No. 10.
Name of the type of examination
short name
1. Examination of temporary disability
E VN
2. Expertise for the purpose of solving medical and social problems
E SME
3. Examination of the diagnostic and treatment process
E LDP
4. Examination of prevention
E PROF
5. Examination to determine preferential drug coverage and expensive treatment
E LLO
6. Medical and economic expertise
E MO
7. Claim (claim examination)
E I
8. Examination of the quality of medical care
E KMP
9. Other types
E dr

98
Name of the subjects of expertise
short name
1. Medical documentation (ambient card, medical history
Maddock
2. Expert advice data
Cons
3. Medical documentation and consultation
Maddoc.and cons
4. Other subjects (materials of other experts)
Friend.
For example: EVN. No. L / N 1515444, 45 days, amb. map;
E LDP, 50 days, meddoc and horse.
Columns 12, 13 and 14. Revealed during the examination:

deviations from standards (column 12);

defects, violations, errors, etc. (column 17)

achievement of the result of the stage or outcome of the treatment and preventive measure (column 14).
Column 12 indicates: if there were deviations from the standards, then "yes" is written and what
(generally); if there were no deviations from the standards, then "no" is written. If the standards were not used during the examination, then "not used" is indicated.
Column 13 should contain a summary of defects, violations, errors, i.e. carried out summary clinical and expert evaluation of the algorithms and technologies for each wine examination. Each type of expertise uses its own evaluation criteria. If defects, violations, errors are not revealed, then it is put in column 13 - "no".
In column 14, generally accepted formulations of achieving the result of a stage or outcome of a treatment and preventive measure are noted.
For example: gr. 12 - not used; gr. 13 - there is no doctor's record on the extension of L / "N", L / "N extended in advance. There is no data from the surgeon's consultation; gr. 14 - unchanged, no improvement achieved.
Column 15. Substantiation of the conclusion. Expert opinion, recommendations. Filling in this column is carried out in a free text presentation. Generally accepted texts of the conclusions may be applied.
For example;
Name of expert opinions
short name
1. Fill out the form 088u F 088u
2. Continue treatment Continue. treatment
3. Needs (requires) additional examination Additional examination
4. Extend L/N by.....days
Extend L/N for
5. Close L/N s.... Close L/N s
6. Hospitalize the patient
7. Refer for a consultation in .. Cons-tion
8. Exempt from the final exams Exempt from the exam
9. Arrange academic leave Akadem. Vacation
10. Issue a certificate with a recommendation for employment
11. Issue a certificate for the improvement of living conditions
Ref. Oh lived. cond.
For example: Based on clinical data, taking into account the nature of the patient's work, extend the L/N by 10 days. Recommended: prolong treatment
Box 16. Date of submission to the ITU bureau or other (specialized) agencies.
Specify the day, month and year of the referral.
For example: 15.08.01 at the ITU bureau.
11/10/01 in the region. cancer center.
Column 17. Conclusion of the ITU or other (specialized) institutions. A formalized conclusion of the ITU bureau or other institutions is indicated.
For example: Disability is set to 2 gr. for general illness.
Column 18. Date of receipt of the opinion of the ITU or other institutions, their validity period. The day, month and year of receipt of the conclusion and their validity period are indicated.
For example: 15.09.01. Term: for 1 year.
Column 19. Additional Information at the conclusion of the ITU or other (specialized) institutions. Note. Additional information may be included in this column.

99
The features of this examination are noted, if any, and a mark is put on the control with the date.
For example: Pay attention to the clarity of design f-088u.
Conduct a re-examination of VN in six months, 3. 11.01
Column 20. The main composition of experts. Surnames and initials of medical experts are indicated.
For example: Petrova A.M., Maslova M.I. Ivanova T.T.
Column 21. Signatures of experts. All participants in the examination put their signatures after the conclusion is prepared.
APPROVE
First Deputy
Minister of Health of the Russian Federation
A.I. VYALKOV
December 20, 2002 No. 2510/224-03-34

public service medical and social expertise

1. Surname, name, patronymic of the patient ______________________

_____________________

2. Date _______3. No. of the survey certificate _____________

4. Diagnosis of the ITU Public Service Institution______

_____________________

5. The degree of violations of body functions (according to the adopted Classification, approved by the decree-order of the Ministry of Labor and Social Development and the Ministry of Health of Russia dated 01.29.97. "1/30, section 1.4)

____________________

6. The degree of disability (according to the adopted Classification, approved by the decree-order of the Ministry of Labor and Social Development and the Ministry of Health of Russia dated 01.29.97. “1/30, section 1.4)

____________________

7. Conclusion of the ITU Public Service Establishment__

____________________

_____________________

Head of institution

ITU Public Service ______________________________

Dispatch Date "___" ___________________20

Sample 9

Ministry of Health of the Russian Federation		Medical documentation Form No. 088 / y-97 Approved by order of the Ministry of Health of Russia dated May 14, 1997 No. 141
Name of institution, address

REFERRAL FOR MEDICAL AND SOCIAL EXAMINATION

Date of issue "___" _________________20

_____________________

1. Surname, name, patronymic ______________________________

2. Date of birth______ Sex______________________

3. Address of the patient _____

4. Disabled __________ group. 5. Place of work ____________

6. Address of place of work _

7. Profession_8. Position_____________________________

9. Under the supervision of a medical institution since "____________" 20

10. History of the present disease (onset, development, course, date of exacerbations, therapeutic and preventive measures taken, measures to restore working capacity).

_____________________

___________________

11. The results of the rehabilitation measures carried out _______________________________

____________________

12. Frequency and duration of temporary disability (information for the last 12 months)

The analysis of morbidity with temporary disability is carried out according to the accounting and reporting form 036 / y "Book of registration of disability certificates", filled out on the basis of the data of the statistical coupon for the completed case of VN, account. f. No. 025-9/4-u (sample 10).

Sample 10

Ministry of Health Appendix No. 1

Russian Federation by order of the Ministry of Health

Russia dated 10/28/96. №366

Medical documentation

Form No. 025-9/4-y-96

TICKET

FOR A FINISHED CASE OF TEMPORARY

DISABILITY.

Full Name__________________________
Gender: male, female___________________________
Date of Birth:_
Home address:________________________________

__________________

Place of work:__

__________________

Final diagnosis: _________________________

__________________

Disease code: ______________________________
Total number of days of incapacity for work in this case: ___________________________

Date of completion Physician's signature

The procedure and features of the issuance of documents certifying the temporary

disability.

Documents certifying temporary incapacity for work and confirming temporary release from work (study) are a certificate of incapacity for work and, in some cases, certificates of the established form issued to citizens in case of diseases and injuries, for the period of medical rehabilitation, if necessary, care for a sick family member, a healthy child and a disabled child, for the period of quarantine, during maternity leave, with prosthetics in a prosthetic and orthopedic hospital.

Upon presentation of a certificate of incapacity for work, in accordance with the current legislation, an allowance for temporary disability, pregnancy and childbirth is assigned and paid.

A disability certificate is issued:

1. Citizens of the Russian Federation, foreign citizens, including citizens of the CIS member states, stateless persons, refugees and internally displaced persons working at enterprises and institutions of the Russian Federation, regardless of their form of ownership.

2. Citizens who have disability or maternity leave occurred within a month after their dismissal from work for good reasons.

3. Citizens recognized as unemployed and registered with the territorial bodies of labor and employment of the population.

4. Former servicemen dismissed from military service from the Armed Forces of the Russian Federation due to disability within a month after dismissal.

The attending physicians of the state, municipal and private health care systems have the right to issue certificates of incapacity for work (certificates) on the basis of a license to conduct an examination of temporary incapacity for work. Doctors engaged in private medical practice outside a health care institution, in order to obtain the said license, must have a certificate (certificate) of completion of an advanced training course in the examination of temporary disability.

In some cases, by decision local authorities management of health care, the issuance of disability certificates (certificates) to citizens may be allowed to a medical worker with a secondary medical education.

Control over compliance with this instruction in state, municipal, private medical institutions, as well as honestly practicing doctors, is carried out within its competence by the health management body of the appropriate level by a professional medical association, executive body Social Insurance Fund of the Russian Federation. Commissions (committees, bureaus) for accreditation and licensing of medical and pharmaceutical activities and subdivisions of territorial compulsory medical insurance funds may participate in the exercise of control.

The procedure for accounting and storage of disability certificates is established by the Ministry of Health and Medical Industry of Russia in agreement with the Social Insurance Fund of the Russian Federation.

Medical workers of ambulance stations (departments), blood transfusions, forensic medical examination institutions, balneo-mud baths and city resort water and mud baths, rest houses, tourist camps, sanitary and epidemiological supervision institutions are not entitled to issue documents certifying temporary disability.

Leaves of incapacity for work are issued by the attending physician upon presentation of a document proving the identity of the patient.

The issuance and extension of a document certifying temporary disability is carried out by a doctor after a personal examination and is confirmed by an entry in the medical documentation justifying the temporary release from work.

A document certifying temporary disability is issued and closed, as a rule, in one medical institution and, if indicated, can be extended in another.

Citizens outside permanent place of residence, a certificate of incapacity for work is issued (extended) by the attending physician who established the fact of incapacity for work, with the permission of the administration of the medical institution, taking into account the days required to travel to the place of residence.

Documents confirming the temporary disability of Russian citizens during their stay abroad, upon return, are subject to replacement with a certificate of incapacity for work by the attending physician with approval by the administration of the medical institution.

The procedure for issuing a certificate of incapacity for work (certificate)

in illness and injury.

In case of diseases and injuries, the attending physician issues a certificate of incapacity for work individually and at a time for up to 10 calendar days and extends it individually for up to 30 calendar days, taking into account the estimated periods of temporary disability for various diseases and injuries approved by the Ministry of Health and Medical Industry of Russia.

Doctors engaged in private medical practice outside a medical institution have the right to issue documents certifying temporary disability for a period not exceeding 30 days.

In special conditions (in remote areas countryside, the Far North, etc.), by decision of local health authorities, the issuance of disability certificates may be allowed to the attending physician until full recovery or referral to medical and social expertise.

Average medical worker, who has the right to issue certificates of incapacity for work, single-handedly and at a time issues it for up to 5 days and extends it up to 10 days, in exceptional cases, after consultation with the doctor of the nearest medical institution, for up to 30 days.

With periods of temporary disability for more than 30 days, the decision on the issue of further treatment and extension of the sick leave is carried out by a clinical expert commission appointed by the head of the medical institution.

The extension of sick leave certificates by private practitioners in these cases is carried out in the manner determined by the Ministry of Health and Medical Industry of Russia together with the Social Insurance Fund of the Russian Federation.

By decision of the clinical expert commission, with a favorable clinical and labor prognosis, the certificate of incapacity for work can be extended until full recovery, but for a period not exceeding 10 months, in some cases (injuries, conditions after reconstructive operations, tuberculosis) - no more than 12 months , with a frequency of renewal by the commission at least every 30 days.

In case of diseases (injuries), a certificate of incapacity for work is issued on the day the incapacity for work is established, including holidays and weekends. It is not allowed to issue it for the past days when the patient was not examined by a doctor.

In exceptional cases, a certificate of incapacity for work may be issued for the past period by decision of the clinical expert commission.

Citizens who applied for medical assistance at the end of the working day, a certificate of incapacity for work, with their consent, is issued from the next calendar day.

Citizens sent by the health center to a medical institution and recognized as disabled are issued a certificate of incapacity for work from the moment they apply to the health center.

Citizens who need treatment in specialized medical institutions are issued by the attending physicians with a certificate of incapacity for work, followed by referral to institutions of the appropriate profile to continue treatment.

Disabled citizens sent for consultation (examination, treatment) to a medical institution outside the administrative district are issued a certificate of incapacity for work for the number of days required for travel, and is extended in the manner prescribed by this instruction.

Upon discharge from the hospital, including from the hospital of the occupational pathology center, a certificate of incapacity for work is issued for the entire period of inpatient treatment, for non-residents - taking into account the days for travel to the place of residence, while maintaining disability, it can be extended for another 10 days.

In cases where the disease or injury that caused temporary disability was the result of alcohol, narcotic, non-drug intoxication, a certificate of incapacity for work is issued with an appropriate mark, about the fact of intoxication in the medical history (outpatient card) and in the certificate of incapacity for work.

In case of temporary incapacity for work of a woman who is on parental leave, or a person caring for a child, working part-time or at home, a certificate of incapacity for work is issued on a general basis.

Citizens who are referred by a court decision for a forensic medical or psychiatric examination and who are recognized as incapable of work are issued a certificate of incapacity for work from the day they enter the examination.

In outpatient treatment of patients for the period of invasive methods of examination and treatment (endoscopic examinations with biopsy, intermittent chemotherapy, hemodialysis, etc.), a certificate of incapacity for work, by decision of the clinical expert commission, may be issued intermittently, on the days of appearance at a medical institution . In these cases, the days of the procedures are indicated on the disability certificate, and release from work is made only on these days.

Upon the onset of temporary incapacity for work during leave without pay, leave for pregnancy and childbirth, on partially paid leave to care for a child, a leaflet is issued from the date of the end of these holidays in case of continued disability.

In case of temporary incapacity for work that occurred during the period of the annual regular vacation, including during sanatorium treatment, a certificate of incapacity for work is issued in the manner prescribed by this instruction.

Citizens who independently apply for advisory assistance in…………………………………………………………………………………………………………………………………………………………………………………………………………………………… in the direction of the military commissariats, investigating authorities, the prosecutor's office and the court, a certificate of arbitrary form is issued.

In case of illness of students and students of secondary and higher educational institutions, a certificate of the established form is issued to release them from study.

The order of sending citizens for medical and social examination.

Citizens with signs of permanent disability and disability and in need of medical and social examination are sent for medical and social examination. social protection:

With an obvious unfavorable clinical and labor prognosis, regardless of the duration of temporary disability, but not more than 4 months;

With a favorable labor prognosis in case of continuing disability up to 10 months (in some cases: injuries, conditions after reconstructive operations, tuberculosis - up to 12 months), to resolve the issue of continuing treatment or establishing a disability group;

Working disabled people to change the labor recommendation in case of worsening clinical and labor prognosis.

The right to refer citizens for a medical and social examination is given to the attending physicians of outpatient and hospital institutions of various levels and forms of ownership with the approval of the referral to MSEC by the clinical expert commission of the institution.

When a disability group is established, the period of temporary disability ends with the date of registration of the referral to the MSEC by the medical and social expert commission.

For persons who are not recognized as disabled, the certificate of incapacity for work is extended by a medical and preventive institution until the restoration of working capacity or re-referral to a medical and social examination.

If the patient refuses to be referred for a medical and social examination or untimely appearance for an examination on disrespectful reason, the certificate of incapacity for work is not extended from the day of refusal or the day of registration of documents by the medical and social expert commission. Refusal or non-appearance is indicated in the disability certificate.

The procedure for issuing a certificate of incapacity for work for the period of sanatorium treatment and medical rehabilitation.

A certificate of incapacity for work for sanatorium-resort (outpatient-resort) treatment, including in boarding houses with treatment, sanatoriums "Mother and Child", in tuberculosis sanatoriums, is issued for the number of days missing for the next and additional holidays, and travel time.

With a total regular vacation for 2-3 years, its entire duration is deducted. In the case of using the next and additional holidays before leaving for the sanatorium and when the administration grants leave without pay for a number of days equal to the next and additional holidays, a certificate of incapacity for work is issued for the period of treatment and travel, minus the days of the main and additional holidays.

A certificate of incapacity for work is issued by a medical institution before leaving for a sanatorium upon the provision of a voucher (travel) and a certificate from the administration about the duration of the next and additional holidays.

When patients are sent to rehabilitation centers directly from hospitals, the certificate of incapacity for work is extended by the attending physician of the center for the entire period of aftercare or rehabilitation.

When patients are sent to sanatoriums from hospitals after acute myocardial infarction, coronary artery bypass grafting, surgery for heart aneurysm, gastric ulcer, duodenal ulcer, removal of the gallbladder, the disability certificate is extended by the attending physician of the sanatorium for the entire period of aftercare.

Participants in the liquidation of the consequences of the accident at the Chernobyl nuclear power plant in 1986-1987, persons who received or suffered radiation sickness and other diseases associated with radiation exposure, and disabled people who have established a causal relationship between the disease and the consequences of radiation exposure, evacuees (including those who left voluntarily ) from the exclusion zone, working in the exclusion zone, as well as participants in the liquidation of the consequences of an accident at production association"Mayak", persons employed in work on protective measures and rehabilitation of radioactively contaminated territories along the Techa River, evacuated, as well as those who voluntarily left settlements exposed to radioactive contamination due to an accident at the Mayak production association and discharges of radioactive waste into the river The flow, including those who at the time of evacuation were in a state of intrauterine development, a certificate of incapacity for work for sanatorium treatment is issued if there are medical indications for the entire period of the voucher and days of travel without deducting the next and additional holidays.

Working soldiers-internationalists, invalids of the Great Patriotic War, as well as from among the military personnel - sent by the medical selection committee to the centers for the rehabilitation therapy of internationalist soldiers according to the order of the Ministry of Health and Medicine and the Social Insurance Fund of Russia, a certificate of incapacity for work is issued for the entire duration of the voucher and days of travel.

When a disabled child under the age of 16 years is referred for sanatorium-and-spa treatment in the health resort “Mother and Child”, if there is a medical opinion on the need for individual care for him, a certificate of incapacity for work is issued to one of the parents (guardian) for the entire period of sanatorium treatment of the child considering travel time.

Citizens referred to rehabilitation clinics scientifically research institutes balneology and physiotherapy, a certificate of incapacity for work is issued by the attending physician of the medical institution on the basis of the conclusion of the clinical expert commission for the duration of treatment and travel and, if indicated, is extended by the attending physician of the institute's clinic.

The procedure for issuing a sick leave for caring for a sick family member, a healthy child and a disabled child.

A certificate of incapacity for work for caring for a patient is issued by the attending physician to one of the family members (guardian) directly involved in the care.

A disability certificate is issued for care:

1. For an adult family member and a sick teenager over 15 years of age receiving outpatient treatment for up to 3 days, by decision of the clinical expert commission - up to 7 days.

2. For a child under 7 years of age with outpatient treatment for the entire period of acute or until the onset of remission in case of exacerbation of a chronic disease; for a child older than 7 years - for up to 15 days, unless a longer period is required by a medical report.

3. For a child under 7 years old with inpatient treatment for the entire period of treatment, over 7 years old - after the conclusion of the clinical expert commission on the need for care.

4. For children under 15 years of age infected with the immunodeficiency virus, suffering from severe blood diseases, malignant neoplasms, burns for the entire period of stay in the hospital.

5. In case of illness of a mother who is on leave to care for a child under 3 years old, a certificate of incapacity for work is issued to the person actually caring for the child, the institution in which the mother is treated, for up to 5 days, by decision of the clinical expert commission - up to 10 days, and in exceptional cases - for the entire period during which she cannot provide care.

6. For a child living in the resettlement zone and the zone of residence with the right to resettlement, evacuated and resettled from the zones of exclusion, resettlement, living with the right to resettlement, including those who were in a state of intrauterine development on the day of evacuation, as well as for children of the first and subsequent generations citizens mentioned in this instruction who were born after radiation exposure of one of the parents for the entire duration of the illness (including the illness of the child during the stay with him in a sanatorium-resort institution).

When two or more children fall ill at the same time, one certificate of incapacity for work is issued to care for them.

In the event of a simultaneous illness of two children, a certificate of incapacity for work for the care of another child is issued after the closing of the first document without offsetting the days that coincided with the days of release from work on the first certificate of incapacity for work.

If a child falls ill during a period that does not require the mother to be released from work (regular or additional leave, maternity leave, unpaid leave, weekends or holidays etc.), a certificate of incapacity for work for care is issued from the day when she should start work, excluding the days from the onset of the child's illness.

Leaves of incapacity for work are not issued for care:

1. For chronic patients during remission.

2. During the period of the next vacation and vacation without pay.

3. During maternity leave.

4. During the period of partially paid parental leave.

The procedure for issuing a certificate of incapacity for work during quarantine.

In case of temporary suspension from work of persons who have been in contact with infectious patients, or as a result of bacterial carriage, sick leave certificates are issued at the presentation of an epidemiologist in a medical institution by an infectious disease specialist or the attending physician. The duration of suspension from work in these cases is determined by the approved periods of isolation of persons who have undergone infectious diseases and those in contact with them.

During quarantine, a certificate of incapacity for work for caring for a child under 7 years of age or for a citizen recognized in accordance with the established procedure as incapacitated is issued on the basis of an epidemiologist's certificate by a medical institution observing him to one of the working family members for the entire period of quarantine.

Enterprise employees Catering, water supply, children's institutions if they have helminthiasis, a disability certificate is issued for the entire period of deworming.

The procedure for issuing a certificate of incapacity for work during prosthetics.

When hospitalized in a hospital of a prosthetic and orthopedic enterprise, a certificate of incapacity for work is issued for the entire period of stay in the hospital and the time of travel to and from the place of residence.

Citizens who are prosthetics in outpatient conditions of a prosthetic and orthopedic enterprise are not issued a certificate of incapacity for work.

Soldiers-internationalists, sent in the prescribed manner for prosthetics, are issued a certificate of incapacity for work for the entire period of prosthetics, taking into account the days required to travel to the place of treatment and back.

The procedure for issuing a disability certificate for pregnancy and childbirth.

For pregnancy and childbirth, a certificate of incapacity for work is issued by an obstetrician-gynecologist, and in his absence, by a general doctor. A certificate of incapacity for work is issued from 30 weeks of pregnancy at a time for 140 calendar days (70 calendar days before childbirth and 70 calendar days after childbirth). In case of multiple pregnancies, a certificate of incapacity for work for pregnancy and childbirth is issued from 28 weeks of pregnancy, while the total duration of prenatal and postnatal leave is 180 days.

In case of complicated childbirth, women, including those from other cities, are issued a certificate of incapacity for work for an additional 16 calendar days by the medical institution where the birth took place. In these cases, the total duration of prenatal and postnatal leave is 156 calendar days.

In case of childbirth that occurred before 30 weeks of pregnancy and the birth of a live child, a certificate of incapacity for work for pregnancy and childbirth is issued by the medical institution where the birth took place, for 156 calendar days, and in case of the birth of a dead child or his death within the first 7 days after childbirth - for 86 calendar days.

A disability certificate for prenatal leave lasting 90 calendar days is issued to women who lived (worked) in the resettlement zone before their resettlement to other areas and living in the zone with the right to resettlement and in zones with a preferential socio-economic status, as well as women living in populated points exposed to radioactive contamination due to the accident at the Mayak production association and the discharge of radioactive waste into the Techa River. Total duration maternity leave is 160 days.

For women living in other areas exposed to radioactive contamination, a certificate of incapacity for work due to pregnancy and childbirth is issued in the order of the above points.

If pregnancy occurs while women are on partially paid leave or additional leave without saving wages for child care, a certificate of incapacity for work is issued on a general basis.

A woman who has adopted a newborn child is issued a certificate of incapacity for work by a hospital at the place of his birth for 70 calendar days from the date of birth.

During the “embryo transfer” operation, a certificate of incapacity for work is issued by the operating doctor for the period from the moment of hospitalization until the fact of pregnancy is established.

In the event of an abortion, a certificate of incapacity for work is issued in the manner prescribed in section 2 of this instruction.

For violation of the procedure for issuing sick leave certificates, doctors of the state, municipal and private healthcare systems bear disciplinary or criminal liability in accordance with the legislation of the Russian Federation.

The procedure for recording and storing documents certifying temporary disability.

1. Forms of disability certificates and certificates (sample 11) of the established form (095y) are documents of strict accountability. Responsibility for the receipt, storage and distribution of forms, as well as for accounting and reporting on them in medical institutions, lies with the heads and chief (senior) accountants of health authorities and institutions. Forms of documents certifying temporary incapacity for work must be stored in fireproof cabinets in special rooms, printed during non-working hours.

Provision of sick leave forms is carried out at the expense of the Social Insurance Fund of the Russian Federation.

Sample 11

OKUD form code ___________________

Institution code according to OKPO_______________

MINISTRY OF HEALTH OF THE USSR Medical documentation

ZVUT is the frequency of all cases (days) of disability due to illness, injury or other health-related medical problems among certain groups of the working population.

In accordance with the Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens (1993), normative and methodological materials have been developed to improve the examination of VN - the right of a citizen of the Russian Federation to the secrecy of information about his illness has been implemented. In the primary accounting document (disability certificate), which is payable at the place of work, there is no information about the diagnosis of the disease, and only the cause of VL is indicated. Since 1996, an accounting document "Coupon for a completed case of temporary disability" has been introduced with information about the patient's diagnosis.

The methodology for studying MTD has the following peculiarities:

§ The emphasis in the organization of the study of VL (collection of information, processing and analysis) is shifted to health facilities. However, this does not exclude the study and analysis of MTD in enterprises that have medical units or other forms of departmental medical care.

§ The second feature is the use of MTD indicators: in new methodology MTD indicators are expected to be more widely used to assess the quality of medical care; organization of examination of VN.

§ Due to significant changes in production area and the loss of the principle of medical care for workers, taking into account adverse conditions and characteristics of work, the analysis of MTD indicators presents certain difficulties.

§ Unfortunately, the methodology for studying MTD according to f.16-VN in polyclinics and hospitals makes it possible to analyze the health status of working contingents only taking into account the most significant biological factors (gender and age).

Unit of observation- each completed case of VN during the year.

Main accounting documents are :

Certificate of incapacity for work (f. 095u);

Voucher for a completed case of VN (f. 025 - 9u - 96).

Certificate of incapacity for work has statistical, legal and financial significance. The front side of the form is filled in by the attending physician (middle medical worker with a license), the reverse side - by the enterprise where the "patient" works.

The columns "diagnosis" and "final diagnosis" are not filled; in the column the cause of disability is emphasized or the type of disability “disease”, “injury”, “health resort treatment”, etc. is recorded.

In the section "exemption from work" days of incapacity for work are recorded.

Voucher for a completed case of VN contains, in addition to the passport data about the patient, information about the cause of VL, including the final diagnosis indicating the code of the disease according to the ICD X revision.

The final diagnosis is the underlying disease that caused (reason) temporary disability.

The total number of days of incapacity for work includes the total number of days per case, regardless of the number of issued certificates of incapacity for work.

All "coupons" are collected, encrypted, combined and developed using computer technology. The report "Information on the causes of temporary disability for ... a year" for further statistical generalization is provided to the Bureau of Statistics of the Health Department (medical information and analytical centers).

Based on the data of the report on f.-16-VN, containing information on all cases and days of incapacity for work, it is possible to study, basically, the structure and levels of VN in general for all types of VN, by sex, age, individual groups of diseases, in dynamics by years, regions (Table 3.8).

ZVUT is the frequency of all cases (days) of disability due to illness, injury or other health-related medical problems among certain groups of the working population.

The methodology for studying MTD has the following peculiarities:

§ The second feature is the use of MTD indicators: in the new methodology, MTD indicators are supposed to be used more widely to assess the quality of medical care; organization of examination of VN.

§ Due to significant changes in the production sector and the loss of the principle of medical care for workers, taking into account adverse conditions and characteristics of work, the analysis of MTD indicators presents certain difficulties.

Unit of observation- each completed case of VN during the year.

Main accounting documents are :

Certificate of incapacity for work (f. 095u);

Voucher for a completed case of VN (f. 025 - 9u - 96).

In the section "exemption from work" days of incapacity for work are recorded.

The final diagnosis is the underlying disease that caused (reason) temporary disability.

The total number of days of incapacity for work includes the total number of days per case, regardless of the number of issued certificates of incapacity for work.

However, the introduction of new information systems and programs made it possible to obtain complete information about temporarily disabled persons, which is very important not only for establishing causal relationships, but, above all, for organizing departmental and non-departmental quality control of the provision of medical services, control of economic losses due to diseases, injuries and other causes.

Table 3.8

Indicators of VVUT calculated according to the report f - 16 VN and their application

Indicators	Calculation technique	Where and by whom are used
I. health care facility	II. Territory health authority	III. Russian Health Authority
1. The structure of cases (days) of disability for reasons of VL	Number of cases (days) for a specific cause x 100 Total cases (days)	To establish the most significant causes of LN diseases, economic losses
1.1. Structure of VL cases by diseases (classes of diseases)	Number of cases (days) for a particular class x 100 Total cases (days) for all diseases		For further study of the frequency of VL by contingents of workers, industries	«»
2. Structure of VL cases by sex and age, both in general and for individual causes, diseases	Number of VL cases at a given age x100 Total VL cases for the country as a whole or disease	To study distributions by sex and age	To establish the effect of gender and age on the incidence of VUT; determining their significance	«»
3. The average duration of the case of LN, both in general and for individual causes, diseases	Total VL days Total VL cases	To assess the quality of medical care. assistance, examination of VN, by doctors, department, institution. Assessment can be carried out according to indicative terms (standards)	To organize quality control of honey. help and expertise
4. The number of cases of VN per 100 average annual workers (in general, f 16-VN, for individual classes, diseases, sex, age) *	Total cases of VL x 100 Average number of employees	To establish VL trends	To establish dynamics for individual health facilities; gender, age	To establish dynamics for individual regions
5. Number of TS days per 100 average annual employees (as a whole by disease, sex) *	Total days HH x 100 Average number of employees	see above	see above	see above

* Used if there is information on the number of employees in the service area of the health facility.

Morbidity according to causes of death - This is the frequency of cases of diseases that caused death among certain contingents of the deceased.

Unit of observation is each death with a specific cause recorded in a medical statistical document in a year.

accounting document– « Medical certificate on death" - form No. 106/y-98 and "Medical certificate of perinatal death" - form No. 106-2/y-98. These documents are transferred to the registry office, reduced to a statement. Based on the recorded causes of death, indicators are calculated (Table 3.9).

Table 3.9

Morbidity rates by cause of death

And how to calculate them

In addition to the general mortality rate, population mortality rates can be calculated depending on sex, age, and other characteristics.