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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

5.2. 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

14.2. 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

16.2. 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:

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

7.

Determination of blood type on the ABO system standard serums

B06.672.012

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