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RESOLUTION OF THE MINISTRY OF HEALTH OF THE REPUBLIC OF BELARUS

of June 9, 2021 No. 77

About questions of conducting medico-social examination

Based on parts seven, the eighth, eighteenth and twenty third article 34 of the Law of the Republic of Belarus of June 18, 1993 No. 2435-XII "About health care", Item 12 of the Regulations on medico-rehabilitation commissions of experts, the paragraph two of part one of Item 13 of the Regulations on conducting medico-social examination approved by the resolution of Council of Ministers of the Republic of Belarus of June 3, 2021 No. 304, of subitem 8.37 of Item 8, of subitem 9.1 of Item 9 of the Regulations on the Ministry of Health of the Republic of Belarus approved by the resolution of Council of Ministers of the Republic of Belarus of October 28, 2011 No. 1446, the Ministry of Health of the Republic of Belarus DECIDES:

1. Establish:

1.1. the list of anatomic defects with which disability, according to appendix 1 is established;

1.2. criteria of establishment of disability at persons are more senior than eighteen years according to appendix 2;

1.3. criteria of establishment of category "handicapped child" and extent of loss of health at persons aged up to eighteen years according to appendix 3;

1.4. criteria of establishment of the reason of disability according to appendix 4;

1.5. terms of establishment of disability at persons aged up to eighteen years according to appendix 5;

1.6. cases of establishment of amendments to the expert decision according to appendix 6.

2. Recognize invalid resolutions of the Ministry of Health of the Republic of Belarus according to appendix 7.

3. Establish forms of the following medical documents:

3.1. the individual program of medical rehabilitation, the patient's abilitation according to appendix 8;

3.2. the program of additional inspection of the patient of medico-rehabilitation commission of experts according to appendix 9;

3.3. the direction for medico-social examination according to appendix 10;

3.4. the conclusion of medico-rehabilitation commission of experts according to appendix 11;

3.5. the medical record of the patient of medico-rehabilitation commission of experts according to appendix 12;

3.6. the minutes of medico-rehabilitation commission of experts according to appendix 13.

4. Approve:

The instruction about procedure for the direction of patients for medico-social examination (is attached);

The instruction about procedure for survey (re-examination) for patients (disabled people) when conducting medico-social examination (is attached).

5. This resolution becomes effective since July 23, 2021.

Minister

D.L.Pinevich

It is approved

Committee for State Security of the Republic of Belarus

 

Ministry of Internal Affairs of the Republic of Belarus

 

Ministry of Defence of the Republic of Belarus

 

Ministry of Education of the Republic of Belarus

 

Ministry of Labour and Social Protection of the Republic of Belarus

 

Brest regional executive committee

 

Vitebsk regional executive committee

 

Gomel regional executive committee

 

Grodno regional executive committee

 

Mogilev regional executive committee

 

Minsk city executive committee

 

Minsk regional executive committee

 

Appendix 1

to the Resolution of the Ministry of Health of the Republic of Belarus of June 9, 2021 No. 77

The list of anatomic defects with which disability is established

1. Anatomic defects with which the I group of disability at persons is established are more senior than eighteen years or the fourth extent of loss of health at persons aged up to eighteen years:

1.1. stumps of both brushes with lack of all phalanxes of four fingers, including the first or higher levels of amputation of both upper extremities;

1.2. stump of one brush with lack of all phalanxes of four fingers, including the first or higher levels of amputation of one upper extremity in combination with stump of brush of the second upper extremity in case of:

lack of all phalanxes of four fingers, excepting the first;

lack of all phalanxes of three fingers, including the first;

lack of the first and second fingers;

lack of three fingers, excepting the first, with the corresponding pyastny bones;

1.3. stumps of both lower extremities at the level of hips;

1.4. combination of amputation of the upper extremity at the level of shoulder and amputation of the lower extremity at the level of hip;

1.5. traumatic injury of backbone with complete separation of spinal cord;

1.6. bilateral anoftalm.

2. Anatomic defects with which the II group of disability at persons is established are more senior than eighteen years or the third extent of loss of health at persons aged up to eighteen years:

2.1. stumps of both brushes in case of:

lack of all phalanxes of four fingers, excepting the first;

lack of all phalanxes of three fingers, including the first;

lack of the first and second fingers;

lack of three fingers, excepting the first, with the corresponding pyastny bones;

2.2. exarticulation of one upper extremity (in shoulder joint);

2.3. amputating stump of one upper extremity at the level of shoulder with length of stump less than 5 centimeters from first line of axillary hollow;

2.4. stumps of both lower extremities:

stumps of feet on Shopara;

stumps of shins, including across Pirogov;

2.5. stump of one lower extremity at the level or proksimalny small spit of femur;

2.6. stump of shin and higher amputations of one lower extremity in combination with lack of all phalanxes of four fingers or higher amputation of one upper extremity;

2.7. stump of one upper extremity and lack of one eye;

2.8. foot stump on Shopara or higher amputations of one lower extremity and lack of one eye;

2.9. condition after bladder extirpation;

2.10. permanent kanyulenositelstvo owing to resection or lack of throat;

2.11. permanent kolostoma or ileostoma.

3. Anatomic defects with which the III group of disability at persons is established are more senior than eighteen years or the second extent of loss of health at persons aged up to eighteen years:

3.1. lack of all phalanxes of four fingers of one brush, excepting the first;

3.2. lack of all phalanxes of three fingers of brush, including the first;

3.3. lack of the first and second fingers of brush with the corresponding pyastny bones;

3.4. lack of three fingers of brush with the corresponding pyastny bones;

3.5. lack of the first fingers of both brushes;

3.6. brush exarticulation at the level of luchezapyastny joint;

3.7. amputating stump of one upper extremity with length of stump of 5 centimeters and more from first line of axillary hollow;

3.8. foot stump after amputation on Shopara, Lisfranka;

3.9. amputating stump of one lower extremity distalny small spit of femur;

3.10. bilateral stumps of feet according to Sharp;

3.11. shortening of one lower extremity on 10 cm and more at persons is more senior than eighteen years;

3.12. the low growth (height less than 150 cm at persons is more senior eighteen years) caused by pathology of endocrine system, the musculoskeletal device, chromosomal anomalies;

3.13. not replaced bone defect of skull of 12 square centimeters and more;

3.14. lack of thyroid gland;

3.15. condition after stomach extirpation;

3.16. lack of one lung;

3.17. lack of one eye;

3.18. blindness on one eye (total or practical blindness (slabovideniye) on one eye (visual acuity of 0,04 below with correction);

3.19. scoliosis of the IV degree with the angle of skoliotichesky deformation 61 degrees and more (in case of measurement by method of Kobba);

3.20. availability of the corrective metal construction implanted concerning the skoliotichesky deformation of backbone fixing chest department of backbone with occupation of grudopoyasnichny department;

3.21. total endoprostheses of two large joints (coxofemoral and (or) knee and (or) talocrural) one or both lower extremities;

3.22. unipolar endoprosthesis of coxofemoral joint;

3.23. modular endoprosthesis of coxofemoral joint with circular defect of diaphysis of femur distalny the level of small spit of femur;

3.24. modular endoprosthesis of knee joint with circular defect of part of diaphysis of femoral or tibial bone.

Appendix 2

to the Resolution of the Ministry of Health of the Republic of Belarus of June 9, 2021 No. 77

Criteria of establishment of disability at persons are more senior than eighteen years


payment order

Group of disability

Criteria of establishment of disability

Note

1

I group of disability

sharply expressed (functional class (further – FC) 4) restriction of one of basic categories of activity;
the expressed permanent violation of functions of two and more interconnected systems of organism (taking into account compensation by medicines and (or) technical means of social resettlement) creating syndrome of mutual burdening bringing to sharply expressed (FC 4) to restriction of one of basic categories of activity;
absolutely adverse concerning life on the near future the kliniko-labor forecast regardless of extent of restriction of activity at the time of conducting medico-social examination (further – MSE);
availability of the anatomic defect specified in Item 1 of the list of anatomic defects with which disability is established established by appendix 1 to this resolution;
expressed (FC 3) the restriction of three and more basic categories of activity of the patient leading to syndrome of social compensation

absolutely adverse concerning life on the near future the kliniko-labor forecast is determined in case of availability at the patient of the fast-progressing irreversible disease with possibly absolute failure within the closest three years of life

in case of sharply expressed restriction of capability to self-service to the patient need for foreign leaving is determined

the syndrome of mutual burdening and syndrome of social compensation when carrying out MSE at the same time are not applied

the kliniko-labor forecast is specified only if it is criterion of establishment of disability

2

II group of disability

expressed (FC 3) restriction of one of basic categories of activity; the moderate permanent violation of functions of two and more interconnected systems of organism of the patient (taking into account compensation by medicines and (or) technical means of social resettlement) creating syndrome of mutual burdening, bringing to expressed (FC 3) to restriction of one of basic categories of activity;
doubtful kliniko-labor forecast;
availability of the anatomic defect specified in Item 2 of the list of anatomic defects with which disability is established established by appendix 1 to this resolution;
moderated (FC 2) the restriction of three and more basic categories of activity leading to syndrome of social compensation

in case of the expressed restriction of capability to self-service to the patient need for permanent assistance is determined

the doubtful kliniko-labor forecast is determined at patients in connection with protivopokazannost of labor activity (FC 4) for the purpose of exception of negative impact of factors of labor process, conditions and nature of work on nature and outcome of disease, and also in case of need long-term treatment and the subsequent rehabilitation

the syndrome of mutual burdening and syndrome of social compensation when carrying out MSE at the same time are not applied

the kliniko-labor forecast is specified only if it is criterion of establishment of disability

3

III group of disability

moderated (FC 2) restriction of one of basic categories of activity;
the easy permanent violation of functions of two and more interconnected systems of organism of the patient (taking into account compensation by medicines and (or) technical means of social resettlement) creating syndrome of mutual burdening, bringing to moderated (FC 2) to restriction of one of basic categories of activity;
rather adverse kliniko-labor forecast;
availability of the anatomic defect specified in Item 3 of the list of anatomic defects with which disability is established established by appendix 1 to this resolution;
lung (FC 1) the restriction of three and more basic categories of activity leading to syndrome of social compensation

rather adverse kliniko-labor forecast is determined at the patient in cases of need moderated (FC 2) of restriction of capability to labor activity for the next 2 years for the purpose of reduction of influence of adverse production factors and working conditions of the patient by current and favorable termination (improvement, recovery) of disease, irrespective of extent of restrictions (FC) of other categories of activity

the syndrome of mutual burdening and syndrome of social compensation when carrying out MSE at the same time are not applied

the kliniko-labor forecast is specified only if it is criterion of establishment of disability

 

Appendix 3

to the Resolution of the Ministry of Health of the Republic of Belarus of June 9, 2021 No. 77

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