MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION

LETTER

[About the form N 089 / u-kv "Notice of a patient with a newly established diagnosis of syphilis, gonorrhea, trichomoniasis, chlamydia, urogenital herpes, anogenital warts, microsporia, favus, trichophytosis, mycosis of the feet, scabies"]

Department of Monitoring, Analysis and strategic development health care in connection with the cancellation of the order of the Ministry of Health Russian Federation dated August 12, 2003 N 403 "On the approval and implementation of the accounting form N 089 / u-kv" Notification of a patient with a newly established diagnosis of syphilis, gonorrhea, trichomoniasis, chlamydia, urogenital herpes, anogenital warts, microsporia, favus, trichophytosis, foot mycosis, scabies" to monitor the epidemiological situation for the above diseases, as well as to ensure interaction with the territorial bodies of Rospotrebnadzor, recommends using the Notification form in work, according to the appendix, before the approval of the new registration form N 089 / u-kv.

Department Director
E.P. Kakorina

Appendix. Form N 089/u-sq. Notification of a patient with a newly established diagnosis: syphilis, gonococcal infection, chlamydial infections, trichomoniasis, anogenital herpetic viral infection, anogenital (venereal) warts, mycosis, ...

Appendix

APPROVED
order of the Russian Ministry of Health

Ministry of Health
Russian Federation
Name of company

OKUD form code _________
Organization code according to OKPO _____
Medical documentation
Form N 089/u-kv

Approved by the Ministry of Health of Russia

Notification of a patient with a newly established diagnosis: syphilis, gonococcal infection, chlamydial infections, trichomoniasis, anogenital herpetic viral infection, anogenital (venereal) warts, mycosis, scabies

1. Full name or patient code

3. Date of birth

4. Place of permanent registration ( locality, Street house)

5. Place of temporary registration (actual residence):

6. Inhabitant: cities 1

Other subject of the Russian Federation 2

foreign citizen 4

FSIN contingent 6

8. Social group: working 1

Disabled 2

Preschooler 3

Student 4

student 5

Retired 6

Serviceman 7

9. Diagnosis

reinfection: yes

ICD-X code

10. Laboratory confirmation: 1: CSR

Immunoblot

; bacterioscopic 2

Bacteriological 3

molecular biology 4

Other (write in) 5

11. Identified pathogen

12. Way of transmission: sexual 1

Incl. with sexual assault 2

Household 3

transplacental 4

Unspecified 5

13. Place of detection of the disease: medical organization state form property:

Of which 2 are anonymous

Outpatient clinic 3

specialist)

female consultation 4

Hospital 5

(specify bunk profile)

Other (write in) 6

Medical organization of another form of ownership 7

14. Circumstances of detection: a) self-appeal to a specialist (specify which one) 1

Incl. by contact

b) identified by a specialist: as a contact of patient 2

At medical examinations 4

during childbirth 5

Other circumstances (write in) 6

15. Pregnancy period: I trimester - 1

II trimester - 2

III trimester - 3

16. Children's institution (for children)

17. Date of diagnosis:

FULL NAME. doctor

Physician's signature and seal

Guidelines for compiling accounting form N 089 / u-kv

1. The notification is filled out by doctors in all medical organizations, regardless of ownership and departmental affiliation, as well as private practitioners, for each patient with a newly diagnosed sexually transmitted infection (syphilis, gonococcal infection, trichomoniasis, chlamydial infection, anogenital herpetic viral infection , anogenital (venereal) warts), and contagious skin diseases (dermatophytosis, fungal infections, scabies).

2. If a patient has two or more sexually transmitted infections and contagious skin diseases, the doctor draws up a notice for each case (two diagnoses cannot be entered in one notice).

3. If a patient has a reinfection, a notification is given to him as to a patient with a newly established diagnosis.

4. In the event of a change in diagnosis, when clarifying the clinical form of syphilis, a new notice is filled in under the same number as the previous one.

5. When filling in the line "Name or code of the patient", the code accepted and used in this medical organization(outpatient card number, digital code, etc.). A patient with a contagious skin disease must indicate the last name, first name, patronymic, if this is a child attending a preschool or school institution, or the patient belongs to the decreed contingent.

6. In the line "Social group", the item "Pensioner" is marked if the patient of retirement age does not work. Working pupils and students are shown respectively in the items "student" and "student".

7. The patient's diagnosis is indicated strictly in accordance with ICD-10.

8. The line "Laboratory confirmation" indicates all types of laboratory tests that were performed to confirm the diagnosis. For diseases such as scabies, urogenital herpes and anogenital venereal warts, this line may be left blank if the diagnosis is established on the basis of clinical data only.

9. The line "Children's institution" indicates the number kindergarten, school or other educational institution.

10. The completed notice must be sent to the territorial dermatovenerological dispensary within 3 days. The Territorial Dermatovenerological Dispensary sends the received notices to the head dispensary of the constituent entity of the Russian Federation on a monthly basis no later than the 5th day of the month following the previous one.

11. A duplicate notice of a contagious skin disease must be sent to territorial department Rospotrebnadzor at the place of actual residence of the patient, within 3 days.

12. No later than the 10th day of each month, the head dermatovenerological dispensary informs the Department of Rospotrebnadzor of the constituent entity of the Russian Federation about the total number of newly registered cases of syphilis for the previous month.

13. It is allowed to fill out the registration form in electronic form.



Electronic text of the document
prepared by CJSC "Kodeks" and checked against:
mailing list

About form N 089 / u-kv "Notice of a patient with a newly established diagnosis of syphilis, gonorrhea, trichomoniasis, chlamydia, urogenital herpes, anogenital warts, microsporia, favus, trichophytosis, mycosis of the feet, scabies"

Document's name:	About form N 089 / u-kv "Notice of a patient with a newly established diagnosis of syphilis, gonorrhea, trichomoniasis, chlamydia, urogenital herpes, anogenital warts, microsporia, favus, trichophytosis, mycosis of the feet, scabies"
Document Number:	13-2/25
Document type:	Letter from the Ministry of Health of Russia
Host body:	Russian Ministry of Health
Published:	The document has not been published.
Acceptance date:	March 02, 2015

Ministry of Health of the Russian Federation

dated 13.08.2003 N 410

Ministry of Health of the Russian Federation ____________________________ Form code according to OKUD _____________________ name of institution Institution code according to OKPO ___________________ Medical documentation Form N 089 / y-tube Approved by order of the Ministry of Health of the Russian Federation dated 13.08.2003 N 410 Notice about a patient with a diagnosis of tuberculosis established for the first time in his life - 1, with recurrence of tuberculosis - 2 1. Surname, name, patronymic _______________________________________________ 2. Gender: male. - 1, female - 2 3. Date of birth: ____.____.____________ 4. Place of work, position ______________________________________________ 5. Address of actual residence of the patient: settlement ______ district ____________________ street ______ house ______ building _______ apt. ____ 6. Resident: cities - 1, villages - 2 7. Social and professional affiliation: worker -1; employee - 2; student - 3; disabled - 4; a preschooler attending kindergarten - 5; unorganized preschooler - 6; old-age pensioner - 7; non-working working age - 8; unemployed - 9. 8. Population category: resident of this territory - 1, resident of another territory of the Russian Federation - 2, immigrant - 3, convict (UIN) - 5,. under investigation (SIZO) - 6, homeless person - 7, another agency (specify which one) - 7, foreign citizen - 8, is in a social security institution - 9 9. Belonging to decreed groups: no - 1, yes - 2 10. Terms previous FG examination: up to 1 year - 2, 1-2 years - 2, 3-5 years - 3, more than 5 years - 4 TB institution - 4, institution of another department (specify which one) - 5 ______ 12. Date of first application for medical care: __.__. ____ 13. Date of registration in the anti-tuberculosis institution.__.__.____ groups: "0" - 1, "III" - 2, "IV" - 3, "IIIA" (child) - 4, "VIA" - 5, "VIB" - 6, "VIB" - 7 16. Method detection: Ziehl-Nelsen microscopy - 1, fluorescent microscopy - 2, culture - 3, fluorography - 4, x-ray - 5, tuberculin diagnostics - 6, histology - 7, other (specify which one) - 8 according to ICD-10*** _______________ (pulmonary tuberculosis - 1, tuberculosis of the pleura, upper respiratory tract, trachea and bronchi, VGDLU - 2, extrapulmonary tuberculosis - 3) 18. Presence of decay: no - 1, yes - 2. 19. Confirmation of bacterial excretion: no - 1, yes - 2 19.1. Bacterioexcretion confirmation method: Ziehl-Nelsen microscopy - 1, fluorescent microscopy - 2, culture - 3 20. Concomitant diseases: no - 1; diabetes - 2; HNZL - 3; hypertension, coronary artery disease - 4; peptic ulcer of the stomach and duodenum - 5; mental illness - 6; oncological disease - 7; other (specify) - 8 __________________ 20.1. Registered in a narcological dispensary: ​​no - 1, yes - 2 (chronic alcoholism, drug addiction) (underline as appropriate) 21. Date of confirmation of the diagnosis of tuberculosis CVCC __.__.____ doctor _______________________ Date of filling out the notice __.__.____ ________________________________ * Immigrants include persons registered by the migration service. ** The numbering is given in accordance with the original. - Note ed. *** Double code according to ICD-10.

Back side

Instructions for filling out the accounting form N 089 / y-tube

1. Citizens of the Russian Federation, foreign citizens and stateless persons are subject to accounting and registration if they have an active form of tuberculosis of any localization, relapse of tuberculosis.

2. The notice is filled in by a doctor for each patient at the place of his detection in case of a newly diagnosed disease or relapse.

3. The notice is drawn up in each medical organization, regardless of departmental subordination.

1. Accounting forms of documentation for tuberculosis are approved by order of acting. Minister of Health of the Republic of Kazakhstan dated November 23, 2010 No. 907;

2. 089 / y - notification of a patient with a first-ever diagnosed active tuberculosis, infections, predominantly sexually transmitted infections, trichophytosis, microsporia, favus, scabies, trachoma, mental illness is filled in for all newly diagnosed tuberculosis patients (newly registered) in reporting year after establishing the diagnosis of tuberculosis at CVCC;

3. 058 / y - registration of bacterial excretors on the basis of an "emergency notification of infectious disease, food, acute, occupational poisoning, unusual reaction to vaccination. The deadline for submitting an emergency notification is within 24 hours from the moment the bacterial excretion is established;

4. TB 01 - a medical record of a patient with tuberculosis, is filled out for each case of treatment of a patient with tuberculosis, as well as when re-registering for a course of repeated treatment, at the place of his residence, by a district phthisiatrician, or by a hospital phthisiatrician after a diagnosis of tuberculosis or after making a decision to assign a different type of TB patient to the CVCC. This card is designed to record information about the patient throughout the course of chemotherapy and is the input document of the computer tracking program National Register of Tuberculosis Patients. When the patient is discharged from the hospital, the TB card 01 is handed over to the patient and transferred to PHC or PTO organizations, where the patient receives the maintenance phase of treatment. At the end of the course of chemotherapy, the TB card 01 is transferred to the district PTO.

6. TB 04 – a laboratory register kept in each laboratory of PHC and VET organizations that conducts microscopic examination of sputum for Mycobacterium tuberculosis. The laboratory serial number is assigned to the patient (not the sputum sample);

7. TB 05 - referral for microscopic examination of sputum for the presence of Mycobacterium tuberculosis (for bacterioscopy);

9. TB 09 - referral for transfer of a patient with tuberculosis. To transfer a patient with tuberculosis from one medical organization to another for continued treatment/observation;

10. TB 11 - register of patients with tuberculosis category IV. This journal is maintained by oblast and rayon TVETs to register patients with drug resistance and patients transferred to category IV;

11. TB 12 - PTP registration log;

12. TB 14 - informed consent of the patient to treatment;

13. TB 15 - register of patients with suspected tuberculosis;

14. TB 16 - dispensary observation card for the contingent;

15. TB 17 - laboratory journal of cultural studies;

16. TB 18 - laboratory log of the result of the MBT drug susceptibility test.

Reporting documentation on tuberculosis:

1. Reporting forms of documentation on tuberculosis are approved by order of the Minister of Health of the Republic of Kazakhstan dated September 22, 2010 No. 742;

2. Form 8 - annual report on new cases and relapses of active tuberculosis;

3. 33 Zdrav - annual report on patients with tuberculosis;

4. TB 07 - quarterly report on registered cases of tuberculosis. This report is compiled for the district, city, region, republic by an anti-tuberculosis organization on the basis of a tuberculosis registration log form TB 03. A quarterly report is submitted by anti-tuberculosis organizations on a vertical basis to the Republican State Treasury Enterprise "National Center for Tuberculosis Problems of the Republic of Kazakhstan" of the Ministry of Health of the Republic of Kazakhstan (hereinafter - NCTP RK). The summary report on the regions is compiled by the NCTP of the Republic of Kazakhstan;

5. TB 08 - a quarterly report on the results of treatment of TB patients registered 12 months ago. This form filled in retrospectively on the basis of the tuberculosis registration form TB 03, going back one year from the quarter that ended on the day of the report. The report is submitted according to the vertical principle in the same order, similar to form TB 07;

6. TB 10 - quarterly report on the results of sputum smear conversion in patients with bacterial excretion registered 6 months ago;

7. TB 13 - quarterly report on the use of anti-tuberculosis drugs.

8. Accounting and registration of patients with tuberculosis is carried out at the place of detection of the disease, regardless of the place permanent residence sick.

9. For each patient diagnosed with active tuberculosis of all forms of localization for the first time in his life, a notice is filled out - form No. 089 / y, which is sent within three days to the PTO and government agency sanitary and epidemiological service. In the case of a postmortem diagnosis of active tuberculosis, which was the cause of death, it is necessary to confirm the diagnosis by a TB doctor.

10. When tuberculosis patients with bacterioexcretion are detected, in addition to the notification form No. 089 / y, a notice is filled out - form No. 058 / y, which is sent to the state body of the sanitary and epidemiological service at the patient's place of residence within 24 hours. Notification form No. 058 / y is filled out not only for newly diagnosed cases of tuberculosis with bacterial excretion, but also for the appearance of bacterial excretion in patients with an inactive form of tuberculosis, as well as in case of death from tuberculosis of patients who were not registered during their lifetime.

11. The calculation of epidemiological indicators for tuberculosis (morbidity, mortality) is made taking into account the permanent, migratory (internal and external) and prison population, with a separate analysis for these categories of the population.

Appendix 8

to the Instructions for the identification, registration,

treatment and dispensary observation of tuberculosis

in primary health care organizations

and TB organizations

Dispensary observation of patients with tuberculosis

(characteristics of groups, terms of observation, necessary measures and results).

Group	Characteristic	Terms of observation	Events	results
Zero group (0) - diagnostic
	Persons with dubious activity of the tuberculous process Children who need to clarify the nature of tuberculin sensitivity and in differential diagnosis, who are not registered in the dispensary in PTO.	4 months	Laboratory ( general analysis urine (hereinafter referred to as OAM), complete blood count (hereinafter referred to as CBC), microscopy and sputum culture for MBT) clinical and radiological. Instrumental and others research methods(according to indications). Tuberculin diagnosis in children and adolescents. The use of PTP is prohibited.	Removal from the register. If active tuberculosis is detected, transfer to the group: 1) I A - if new case; 2) I B or I C - if repeated case. 3) When establishing the infectious etiology of the tuberculin test, it is transferred to group III B (children).
The first group (I) - active tuberculosis
I A	New TB cases	Throughout the course of treatment	Treatment regimen: Category I 2-4 HRZE/S / 4(7) HR or H 3 R 3, or HRE; Category III 2 HRZE/S / 4 HR or H 3 R 3 or HRE	Transfer to the group: 1) II - at the outcome of treatment "cured" or "treatment completed"; 2) I B - at the outcome of "failure of treatment", "violation of the regimen" with preserved sensitivity; 3) B - when resistance to HR is established or at the outcome of "treatment failure" with multiresistance
I B	Repeated TB cases	Category II treatment 3-5 HRZE/S(2) / 5 HRE or H 3 R 3 E 3	Transfer to the group: 1) II - at the outcome of treatment "cured" or "treatment completed"; 2) I B - upon establishing resistance to HR or at the outcome of "treatment failure"; 3) I D - at the outcome of "failure of treatment" by the decision of the CWCC Remains in this group - at the outcome of "violation of the regimen".
I B	DR-TB cases treated with primary and secondary anti-TB drugs (category IV)	Standard treatment regimens recommended by CVCC. Surgical treatment according to indications.	Transfer to the group: 1) II - with the outcome "cured" or "treatment completed"; 2) I G - at the outcome of "treatment failure"; 3) in the event of a "violation of the regime" - the CCCC decides.
I G	Cases of drug-resistant TB with bacterial shedding after retreatment from primary or reserve anti-TB drugs who cannot be treated with standard regimens (category IV)	until bacterial excretion stops by culture	Laboratory (OAM, KLA, microscopy and sputum culture, on the MBT), clinical and radiological. Instrumental and other research methods, pathogenetic, collapsotherapeutic and surgical methods of treatment (according to indications).	Transfer to the group: 1) I B - when prescribing the treatment of anti-TB drugs of the reserve series; 2) II - with the outcome "cured" or "treatment completed".
The second group (II) - inactive tuberculosis
II	Individuals with inactive TB who have a 'cured' or 'treatment completed' outcome	1 year - with small residual changes (MOI)	Examination 2 times a year (OAC, OAM, sputum microscopy, culture, X-ray tomography). Additional examination methods according to indications.	II - with the outcome "cured" or "treatment completed"
2 years - with large residual changes (BOI)
The third group (III) - persons with an increased risk of tuberculosis
III A	Contact with a patient with tuberculosis.	the entire period of contact and 1 year after effective chemotherapy of the patient	Examination 2 times a year (laboratory, clinical and radiological). Additional diagnostic methods according to indications.	Removal from the register. Transfer to group I A - when active tuberculosis is detected.
Children and adolescents in contact with patients with active TB, regardless of bacterial excretion
From previously unknown centers of death from tuberculosis.
1 year
III B	Early period of primary tuberculosis infection (turn of tuberculin reactions); Previously infected, with hyperergic reaction to tuberculin; Adverse reactions to the introduction of the BCG vaccine.	1 year	When taking and deregistration of OAM, UAC, Mantoux test and X-ray examination. Sputum microscopy according to indications. Chemoprophylaxis regimen - according to the instructions. Treatment of adverse reactions is carried out in accordance with guidelines"Management of cases with adverse reactions to BCG vaccination".

font size

ORDER of the Ministry of Health of the Russian Federation dated 13-08-2003 410 ON APPROVAL OF RECORDING FORM 089U-TUB NOTIFICATION OF A PATIENT WITH FOR THE FIRST TIME IN LIFE ... Relevant in 2018

INSTRUCTIONS FOR COMPLETING THE ACCOUNTING FORM N 089 / U-TUB

1. Citizens of the Russian Federation, foreign citizens and stateless persons are subject to accounting and registration if they have an active form of tuberculosis of any localization, relapse of tuberculosis.

2. The notice is filled in by a doctor for each patient at the place of his detection in case of a newly diagnosed disease or relapse.

3. The notice is drawn up in each medical organization, regardless of departmental subordination.

4. A notice of an identified patient is sent to territorial body state sanitary and epidemiological supervision. A duplicate of the notice is sent to the territorial TB dispensary at the place of actual residence of the patient.

5. According to the "Instructions on the registration and accounting of newly diagnosed patients with active tuberculosis and the procedure for compiling a reporting form N 8", approved by the State Statistics Committee of Russia on 06/29/99 N 49 and the Ministry of Health of Russia on 11/10/2000 N 01-23 / 6-14, notification to the indicated institutions is carried out within 3 days after the diagnosis of active tuberculosis.

6. If the patient has two localizations of tuberculosis (pulmonary tuberculosis and tuberculosis of the knee joint), both localizations are indicated. The more severe defeat comes first.

PROJECT

DEPARTMENT OF POPULATION HEALTH PROTECTION

ORDER

“____” ___________ 2013 No. _____

Kemerovo

"On the procedure for sending the corpses of persons who have died

tuberculosis or suspected tuberculosis

pathological or forensic

research and control of registration of medical

tuberculosis death certificates.

In order to streamline the direction of the corpses of people who died from tuberculosis or with suspected tuberculosis for pathoanatomical or forensic medical examination, as well as to increase the reliability of the mortality rate from tuberculosis, increase the responsibility and level of knowledge of doctors as a result of a collegial analysis of each case of death from tuberculosis and conducting a cause-of-death analysis; on the basis of the order of the Ministry of Health of the Russian Federation No. 000 dated 01.01.2001. "On the improvement of anti-tuberculosis measures in the Russian Federation", order No. 000 dated 01.01.2001. Ministry of Health of the USSR "On approval of the Instruction on the production of a forensic medical examination, the Regulations on the bureau of forensic medical examination and other regulatory acts on forensic medical examination", federal law No. 73 of 01.01.2001 "On State Forensic Activities in the Russian Federation" and Order No. 000 of 01.01.2001. Ministry of Health of the Russian Federation "On the improvement medical records certifying cases of death, in connection with the transition to the ICD - X "

I ORDER:

Approve the procedure for referring patients who died of tuberculosis for autopsy (Appendix No. 1).

1. Approve the procedure for issuing medical certificates of death with a diagnosis of tuberculosis (Appendix No. 2).

2. Approve the procedure for registering deaths from tuberculosis unknown to the anti-tuberculosis service (Appendix No. 3).

3. Approve the composition and position of the work of expert commissions to review cases of death from tuberculosis

(Appendix No. 4).

4. Approve the list of attached territories that send materials for consideration of death cases to expert commissions (Appendix No. 5).

2 double code according to ICD-10