Order of the Minister of Health of the Republic of Kazakhstan "About approval of the list of chronic diseases in case of which dynamic is carried out..."

The document ceased to be valid since October 9, 2020 according to the Order of the Minister of Health of the Republic of Kazakhstan of September 23, 2020 No. KR DSM-109/2020

ORDER OF THE MINISTER OF HEALTH OF THE REPUBLIC OF KAZAKHSTAN

of October 17, 2019 No. KR DSM-136

About approval of the list of chronic diseases in case of which dynamic observation of patients, the list of socially important diseases in case of whom the medico-public assistance, the list of diagnostic services, including laboratory diagnostics, the list of the infectious diseases and diseases constituting danger to people around, the list of the diseases which are not subject to dynamic observation within the guaranteed amount of free medical care, the list of separate categories of the population, subjects of the emergency and planned dental help, the list of diseases (conditions) which are subject to medical rehabilitation and recovery treatment in the direction of the specialist of primary health care or the medical organization is given, is made

According to article 34 of the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" and article 7 of the Law of the Republic of Kazakhstan of November 16, 2015 "About compulsory social medical insurance" PRIKAZYVAYU:

1. Approve:

1) the list of chronic diseases in case of which dynamic observation of patients according to appendix 1 to this order is made;

2) the list of socially important diseases in case of which the medico-public assistance according to appendix 2 to this order is given;

3) the list of diagnostic services, including laboratory diagnostics according to appendix 3 to this order;

4) the list of the infectious diseases and diseases constituting danger to people around according to appendix 4 to this order;

5) the list of the diseases which are not subject to dynamic observation within the guaranteed amount of free medical care according to appendix 5 to this order;

6) the list of separate categories of the population, subjects of the emergency and planned dental help according to appendix 6 to this order;

7) the list of diseases (conditions) which are subject to medical rehabilitation and recovery treatment in the direction of the specialist of primary health care or the medical organization according to appendix 7 to this order.

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

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

2) placement of this order on Internet resource of the Ministry of Health of the Republic of Kazakhstan;

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

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

4. This order becomes effective since January 1, 2020 and is subject to official publication.

Minister

E.Birtanov

Appendix 1

to the Order of the Minister of Health of the Republic of Kazakhstan of October 17, 2019 No. KR DSM-136

The list of chronic diseases in case of which dynamic observation of patients is made

№	List of chronic diseases	Codes on International Statistical Classification of the diseases and problems connected with health of the 10th review
Infectious and parasitic diseases
1.	Chronic viral hepatitis B, C and D, without cirrhosis	B 18, including B18.0, B18.1. B18.2, B18.8
Blood circulatory system diseases
2.	Arterial hypertension:
	2.1. Essentsialny (primary) hypertensia	I10
	2.2. The Gipertenzivny heart trouble (hypertension with preferential damage of heart)	I11
	2.3. The Gipertenzivny (hypertensive) disease with preferential damage of kidneys	I12
	2.4. The Gipertenzivny (hypertensive) disease with preferential damage of heart and kidneys	I13
	2.5. Secondary hypertensia	I15
3.	Coronary heart disease:
	3.1. Unstable stenocardia	I20.0
	3.2. Other forms of stenocardia	I20.8
	3.3. Chronic coronary heart disease	I25
	3.4. Heart failure	I 50
4.	Ekstrakranialny diseases of brakhiotsefalny arteries:
	4.1. Tserebrovaskulyarny diseases	I65-I69
	4.2. The obstruction and stenosis of pretserebralny arteries which are not leading to brain heart attack	I65
	4.3. The obstruction and stenosis of cerebral arteries which are not leading to brain heart attack	I66
	4.4. Other tserebrovaskulyarny diseases	I67
	4.5. Defeats of vessels of brain in case of the diseases classified in other headings	I68
	4.6. Consequences of tserebrovaskulyarny diseases	I69
	4.7. Embolism and thrombosis of artery of the upper extremities	I74.2
	4.8. Aorit in case of the diseases classified in other headings	I79.1
	4.9. Subarakhnoidalny hemorrhage Intracerebral hemorrhage Other not traumatic intra cranial hemorrhage Ischemic stroke The stroke which is not specified as hemorrhage or heart attack	I 60 I 61 I 62 I 63 I 64
5.	5.1. Defeats of valves of heart: Chronic rheumatic heart troubles Rheumatic diseases of the mitralny valve Rheumatic diseases of the aortal valve Rheumatic diseases of the three-leaved valve Defeats of several valves Other rheumatic heart troubles	I05-I09 I05 I06 I07 I08 I09
5.	5.2. Not rheumatic defeats of valves of heart: Not rheumatic defeat of the mitralny valve Not rheumatic defeats of the aortal valve Not rheumatic defeats of the three-leaved valve Defeat of the valve of pulmonary artery The endocarditis, the valve is not specified Endocarditis and defeats of valves of heart in case of the diseases classified in other headings	I34-I39 I34 I35 I36 I37 I38 I39
6.	Arrhythmias Fibrillation and tremblings of auricles	I47 I48
Diseases of blood and haematogenic bodies
7.	7.1. Heritable deficit of factor of VIII	D66
	7.2. Heritable deficit of factor of IX	D67
	7.3. Villebrand's disease	D68.0
	7.4. Heritable deficit of other factors of folding	D68.2
Diseases of respiratory organs
8.	Chronic diseases of the lower airways:
	8.1. Other chronic obstructive pulmonary disease	J44
	8.2. Asthma	J45
Diseases of digestive organs
9.	Diseases of the upper departments of digestive tract:
	9.1. The Gastroezofagealny reflux with ezofagity	K21.0
	9.2. Stomach ulcer and duodenum Stomach ulcer Duodenum ulcer Peptic ulcer of not specified localization	K25-K27 K25 K26 K27
	9.3. Chronic atrophic gastritis	K29.4
	9.4. Polyps (polyposes) of stomach	K31.7
10.	Noninfectious enteritis and colitis:
	10.1. Disease Krone (regionarny enteritis)	K50
	10.2. Ulcer colitis	K51
	10.3. Other noninfectious gastroenteritis and colitis	K52
11.	Cirrhosis Toxic damage of liver The liver failure which is not classified in other headings The chronic hepatitis which is not classified in other headings Fibrosis and cirrhosis Other inflammatory diseases of liver Other diseases of liver	K70-K76 K71 K72 K73 K74 K75 K76
Diseases of bone and muscular system and connecting fabric
12.	Artropatiya, dorsopatiya:
	12.1. Rheumatoid arthritis,	M THE 05TH 06
	12.2. Psoriatichesky artropatiya	M 07.3
	12.3. Juvenile (juvenile) arthritis	M08
	12.4. Ankiloziruyushchy spondilit	M45
13.	System defeats of connecting fabric:
	13.1. Nodular polyarteritis	M30
	13.2. Other nekrotiziruyushchy vaskulopatiya	M 31
	13.3. System red wolf cub	M32-M32.9
	13.4. Dermatopolimiozit	M33-M33.9
	13.5. System sclerosis (system sklerodermiya)	М.34-М34.9
	13.6. Other system defeats of connecting fabric	M35
Diseases of endocrine system, frustration of food and metabolic disorder
14.	14.1. Diabetes 1 type at children and at adults	E 10
14.	14.2. Diabetes	E11 - E11.9
15.	Diseases of thyroid gland:
	15.1. Hypothyroidism	E02
	15.2. Diffusion toxic craw. Thyrotoxicosis	E05 - E05.9
Diseases of nervous system
16.	16.1. Epilepsy	G 40
16.	16.2. Cerebral palsy	G 80
Diseases of urinogenital system
17.	Glomerulyarny diseases:
	17.1. Chronic nefritichesky syndrome	N03
	17.2. Nephrotic syndrome	N04
	17.3. Chronic renal failure	N18
18.	Chronic interstitsialny nephrite	N11
19.	Giperplaziya of prostate gland	N40
20.	Benign dysplasia of mammary gland	N60
21.	Not inflammatory diseases of female genitals:
	21.1. Endometriosis	N80
	21.2. Polyp of female genitals	N84
	21.3. Ferruterous giperplaziya of endometrium	N85.0
	21.4. Adenomatozny giperplaziya of endometrium	N 85.1
	21.5. Erosion and ektropion uterus necks	N86
	21.6. Uterus neck leukoplakia	N88.0
22.	Good-quality new growth of ovary	D27
23.	The separate conditions arising in the perinatal period:
23.	The bronchopulmonary dysplasia which arose in the perinatal period	P27.1
Congenital anomalies (malformations), deformations and chromosomal violations (children):
24.	Congenital heart diseases in the postoperative period:
	24.1. Congenital anomalies (malformations) of heart cameras and connections	Q20
	24.2. Congenital anomalies (malformations) of warm partition	Q21
	24.3. Congenital anomalies (malformations) of pulmonary and three-leaved valves	Q22
	24.4. Congenital anomalies (malformations) of aortal and mitralny valves	Q23
	24.5. Other congenital anomalies (malformations) of heart	Q24
	24.6. Congenital anomalies (malformations) of large arteries	Q25
25.	Congenital malformations:
	25.1. Congenital defects of gullet	Q39
	25.2. Anorektalny malformations	Q42
	25.3. Congenital diafragmalny hernia	Q79

Appendix 2

to the Order of the Minister of Health of the Republic of Kazakhstan of October 17, 2019 No. KR DSM-136

The list of socially important diseases in case of which the medico-public assistance is given

№	List of socially important diseases	Codes on International Statistical Classification of the diseases and problems connected with health of the 10th review
1.	Tuberculosis	A15-A19
2.	The disease caused by the human immunodeficiency virus (HIV)	B20-B24
3.	Chronic viral hepatitises and cirrhosis	B18.0, B18.1, B18.2, B18. 8, IN 19, K74
4.	Malignant new growths	C00-97; D00-09; D37-48
5.	Diabetes	E10-E14
6.	Mental disturbances and disorders of behavior	F00-F99
7.	Cerebral palsy	G80
8.	Sharp myocardial infarction (first 6 months)	I 21, I 22, I23
9.	Rheumatism	I00-I02; I05-I09; M12.3; M35.3
10.	System defeats of connecting fabric	M30-M36
11.	Degenerate diseases of nervous system	G30-G32
12.	Demiyeliniziruyushchy diseases of the central nervous system	G35-G37
13.	Orphan diseases	IN 55, D 56, D56.0-D56. 2, D56. 4, D 57, D57.0-D57. 2, D59. 5, D61. 9, D69. 3, D76. 0, D80-D 84, E53.1, E74. 0, E75. 2, E76.0-E76. 2, E80. 2, E83. 0, E84. 8, E85. 0, E88. 0, G12. 2, G 35, G40. 4, G93. 4, J 84, J84. 0, J84. 1, J84. 8, J84. 9, I27. 0, K 50, K 51, L 10, L13. 0, M08. 2, M30. 3, M31. 3, M31. 4, M 31. 8, M32. 1, M 33, M33. 2, M35. 2, Q78. 0, Q 80, Q81

Appendix 3

to the Order of the Minister of Health of the Republic of Kazakhstan of October 17, 2019 No. KR DSM-136

List of diagnostic services, including laboratory diagnostics

№	List of diagnostic services	Complete code of service
Laboratory diagnostics (pre-medical help)
1.	Urine measure definition (pH, leukocytes, erythrocytes, urobilinogen, nitrites, protein) express by method	B03.866.003
2.	Determination of general cholesterol in blood serum the express by method	B03.401.003
3.	Determination of glucose in blood serum the express by method	B03.335.003
4.	Determination of triglycerides in blood serum the express by method	B03.486.003
5.	Determination of the horionichesky gonadotrophin of the person (HGP) in urine the express by method (the test for pregnancy)	B03.517.003
6.	Detection of the hidden blood to Calais (haemo cultural-test) the express by method	B03.103.003
7.	Total determination of antibodies to VICh-1,2 and anti-gene r24 the express by method	B03.860.003
8.	Determination of antibodies to Treponema Pallidum in blood serum the express by method (rapid test for syphilis)	B03.861.003
9.	Total determination of antibodies to hepatitis C virus in blood serum the express by method	B03.862.003
10.	Determination of HBsAg in blood serum the express by method	B03.863.003
11.	Dab research on availability of amniotic waters the express by method	B03.870.003
Laboratory diagnostics (qualified help)
1.	Measurement of the speed of subsidence of erythrocytes (SSE) in blood by Westergren's method by manual method	B02.061.002
2.	Determination of hemoglobin in blood the express by method	B03.864.003
3.	Determination of leukocytes in blood the express by method	B03.865.003
4.	Determination of troponin express by method	B03.867.003
5.	Determination of glikizirovanny hemoglobin express by method	B03.868.003
6.	Determination of protrombinovy time, MNO on the portable analyzer the express by method	B03.869.003

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