Appendix 1 to the Order of the Ministry of Health and Social Development of the Russian Federation of November 22, 2004 N 255 "On the procedure for the provision of primary health care to citizens entitled to receive a set of social services" (with amendments and additions).
This Procedure governs the provision of primary health care to citizens entitled to receive a set of social services (hereinafter referred to as citizens) in institutions providing primary health care.
When citizens apply to the institution providing primary health care, the registry will have an outpatient medical record (registration form N 025/у-04) or a child’s development history (registration form N 112/у) with marked with the letter "L".
An "Outpatient Coupon" is filled out (registration form N 025-12/у), with which a citizen is sent to an appointment with the local doctor, paramedic.
The local therapist, the local pediatrician, general practitioner (family doctor), paramedic during the initial medical examination of the patient conducts an in-depth examination with the participation of the necessary specialists, establishes a clinical diagnosis, determines an individual plan of treatment and health-improving measures and the procedure for follow-up, in accordance with which is recorded in the "Dispensary Monitoring Checklist" (form N 030/у-04).
Compulsory follow-up is carried out according to the scheme: 1 time per year - an in-depth medical examination with the participation of the necessary specialists, 1 time in six months - an additional laboratory and instrumental examination, 1 time in 3 months - patronage of the district nurse.
If the patient has diseases that require an individual follow-up, the attending physician conducts a follow-up according to an individual plan corresponding to the given disease.
A local therapist, a local pediatrician, a general practitioner (family doctor), a feldsher performing medical observation:
- organizes, in accordance with the standards of medical care, approved in the prescribed manner, on an outpatient basis, treat patients both in the primary health care institution and in the day hospital (in-patient home);
- if necessary, sends patients for consultation with specialists or for hospitalization;
- if it is impossible for the patient to visit the outpatient facility, he organizes home care.
In the case of insufficient pharmacotherapy in the treatment of certain diseases for vital indications and in case of a threat to the life and health of the patient, other drugs may be used by decision of the medical commission, approved by the chief physician of the medical institution.
A district therapist, district pediatrician, general practitioner (family doctor), medical assistant, if there are indications and there are no contraindications, prescribes a spa treatment for each citizen in accordance with his illness, filling out a certificate to receive a spa vacation voucher and issuing a sanatorium resort card.
When writing out recipes (registration form N 148/у - "Л"), certificates for obtaining spa-resort vouchers (registration form N 070/у-04), issuing sanatorium-resort cards (registration form N 072/у- 04 or N 076/у-04 - for children) a mark is made in the relevant accounting documentation, which is marked with the letter "L".
A local therapist, a local pediatrician, a general practitioner (family doctor), medical assistant draws up a "Passport of a medical station for citizens entitled to receive a set of social services" (registration form N 030-П/у).
In order to maintain continuity in the organization of medical care, when a child reaches the age of 17 years (inclusive) and transfers him for medical care to an outpatient facility of the general treatment network, data from the child’s development history (registration form N 112/у) is transferred to "An admission sheet for a teenager on an outpatient medical record" (registration form N 052-1/у), which is transmitted to the outpatient institution at the place of residence.
The organizational and methodological office of the institution that provides primary health care to citizens entitled to receive a set of social services (medicine, sanatorium and rehabilitation treatment) monitors the medical care provided and provides the head doctor of the institution with information about working with citizens entitled to receive a set of social services at least 1 time per quarter.