The Republic of LATVIA Cabinet of Ministers Regulations No. 177 (pr. No 43 24) released the constitutional order laid down in article 81 of the rules of treatment rules 424 terms used in treatment: a professional disease prevention, Diagnostics, treatment, rehabilitation and care of patients.
Treatment of persons — persons who deal with medical treatment.
 
The medical establishment — national or local authority, a company (the company), which has a statutory right to practise medicine. For treatment within the meaning of these regulations the authorities considered medical university clinics, institutes, hospitals, rehabilitation institutions, industries, hospitals, specialist centres, emergency medical institutions, doctorate (ambulance), medical centres, health points, special therapy room, as well as functional, morphological, haematological, biochemical, serological, pathological and forensic examination laboratory.
Medical certificate of the person, the document that certifies the person's training and specifies the right to medical treatment by a person as an expert is constantly engaged with the treatment (professional practice).
Hospital accreditation: the hospital's professional and logistical readiness of evaluation to be permitted to carry out treatment and in case of a positive evaluation of the accreditation certificate issued.
License — a special permit (license) for business.
Communicable diseases — diseases that can lead to the spread of the epidemic.
Medical education in the Republic of Latvia accredited medical education graduate diploma under the authority of a set of skills and knowledge, as well as further specialisation and training.
Medical technology, the methods to be used in the treatment and manipulation, as well as tools and hardware.
Emergency medical assistance — assistance to victims (deceased) life or critical state, provided such cases especially prepared (trained, equipped) persons with appropriate qualifications in medicine under this qualification is a legal responsibility for their actions or inaction and its consequences.
Patient: a person who receives treatment or who are registered at any of the treatment and to receive necessary treatment.
First aid-palīdzībacietuš (ill) life or critical state that their knowledge and ability to provide people with kvalifikācijumedicīn or without it, regardless of training and equipment.
Rehabilitation: a medical industry that deals with human physical, psychological, social, vocational and educational development or recovery of the potential suit his physiological or anatomical particular constraints or stable health, patient's living environment and the application of the company].
Special medical education: a theoretical and practical knowledge as a whole, by the Republic of Latvia accredited medical education institutions receiving the diplomas obtained special training in one of the medical sector.
The first chapter General questions 1. these provisions govern social relations in treatment to ensure the disease and injury prevention, Diagnostics, qualified, treatment and patient rehabilitation.
2. the population of sanitary, hygienic, working in medical, epidemiological, ecological wealth, disaster medicine and pharmaceutical issues regulated by special laws.
3. Health is the physical, mental and social well-being, the State and the nation's existence and survival of the natural basis. Health care (including primary health care of the population) are measures of health provision and maintenance.
4. the population of primary health care and medical aid, for which the payment is guaranteed from the State's municipal budget, as with the payment arrangements determined Cabinet.
5. each citizen is obliged to protect and maintain your and (tend to) next of kin and dependants health, and each is responsible for his own and the next of kin and dependants health.
6. Every citizen has the right freely to choose a doctor and hospital in Latvia. The patient has the right to high-quality, kind and respectful treatment and care.
7. the Person entitled to receive health care in the territory of the Republic of Latvia guarantees the country with national accredited and certified by the authorities of the medical treatment person.
8. the treatment of persons in treatment lays down specific rules, these rules, the resulting diploma (degree) in medicine, specialist practice law or the rights of a specialist recognized rights as well as other cabinet.
The second chapter of the medical monitoring of treatment monitoring of 9 country in accordance with the law shall be the Ministry of welfare, the regional Health Department, district, city and county governments, State doctors, as well as other statutory public bodies.
10. The Ministry of welfare is a central public administration institutions that formulate and implement the national health policy. Ministry of welfare, the Department and the executive functions, rights and obligations are determined by law, other cabinet legislation and the relevant Welfare based Ministry and its departments, operating bylaws.
11. The Ministry of welfare: 1) develop a national policy for health care and medical education, as well as overseeing its implementation;
2) nationally coordinates and directs the provision of assistance to regional and national emergency victims;
3) confirms all types of medical services standards and their financing calculation methodology;
4) appointed and released from Office by the State doctors;
5) shall be appointed and relieved of his post doctors, forensic experts;
6) establish regional health departments, the personnel and determine the areas pertaining to the regional Health Department (population less than 200,000);
7) build, maintains a policy of treatment and the treatment of persons, institutions, as well as with certain diseases diseased patient records;
8) confirms the therapeutic medical technologies, as well as the introduction of new medical technologies;
9) establish and manage a health care public tips;
10) published a list of the officials who carried out the functions of the Ministry of supervision, as the treatment with their direct exposure to;
11) developed and submitted to the Cabinet for approval a list of occupational diseases.
12. regional health departments working under the Ministry of welfare state regulations approved by the doctor, and their main tasks are: 1) plan health care measures in the current region of responsibility;
2) to monitor hospitals, specialized medical assistance and dental services;
3) divide the financial resources allocated under the national physician approved plan.
13. the regional Health Department instructions, orders and regulations of public health care in the region is bound by the existing medical authorities, where they do not conflict with the laws, Cabinet of Ministers regulations, the Ministry of welfare and this Department issued orders.
14. The list of occupations that employ persons below before entering and subject to mandatory regular health checks, approved by the Cabinet, but the order in which the mandatory health check occurs, determine the Prosperity of the Ministry of instruction.
15. a national health care professional and integrity inspection quality control and Government budget use control treatment (irrespective of their form of ownership and subordination) of the Republic of Latvia and the capacities of medical care inspection quality control inspection, acting in accordance with the specific terms of the Cabinet of Ministers.
16. Medical treatment institutions that employ people, the cabinet order provided for in the report must be provided to the Ministry of welfare of those persons recruitment and dismissal.
17. it is prohibited without the permission of the relevant doctors regional media to put advertisements and advertising relating to medicinal, therapeutic and healing people, except for jobs and requests, as well as other economic advertisements. This prohibition does not apply to the procedure prescribed by law the registered public organizations — the medical professional associations of persons, Medical Academy of Latvia and the Latvian Red Cross spending.

18. People who do not have medical training and which independently deal with patients ' treatment, dzemdībpalīdzīb treatment provision (except when necessary to provide first aid), hypnosis, coding and other human psyche methods to influence the human energy field (biokorekcij), acupuncture and transition to the human body's energy systems-methods that also persons who support the independent operation of the treatment of persons who lack medical training or specialist practice of law is called to disciplinary responsibility, administrative responsibility and criminal liability under the law.
In the third chapter the national physician 19. Country doctor is a public servant with the higher and special medical education, in accordance with the law «on State service», other laws, these terms and others in the Cabinet's legislation implementing the national policy in health care and health care monitoring carried out by regional health department.
20. National Physician's main duties are: 1) the drive regional Health Department work;;
2) the areas to collaborate with local authorities, public organizations, natural and legal persons in health care;
3) to control the health care financial funds allocated;
4) to organize, in cooperation with the fire and rescue services and the police emergency treatment for victims of disasters and epidemics, as well as to participate in disaster medicine planning;
5) take, in collaboration with the national health service (regional or city Veterinary Administration Chief) prevention, curative and informative measures the spread of a contagious disease in the case that you can catch both human and animal;
6) monitoring of legislative and other regulatory enforcement in health care;
7) organize, control of communicable diseases;
8) to participate in the Commission and evaluate national service conscripts, and to be mobilized and retired persons medical examination results;
9) to hear citizens ' complaints and reports on health care matters;
10) provide this provision paragraph 17 referred to in advertisements and advertising media.
21. Country doctor has the right to: 1) to receive from the State and municipal authorities, medical institutions and medical parties information, necessary for national doctor's duties;
2) request to revoke the license if the hospital's owner or the driver do not comply with laws, these provisions and other legislation;
3) to issue separate orders of public health care, which are binding for all natural and legal persons in the territory, if you have received written authorization from the Ministry of Welfare.
The fourth chapter of the Medical Ethics Committee 22. Medical Ethics Committee is a public advisory and consultative institutions of medical ethical problems that act in accordance with these terms and the Cabinet of Ministers approved regulations.
23. Regional Committee for medical ethics to establish a national physician and consider issues related to the treatment of persons and new medical technologies.
24. Central Medical Ethics Committee establishes a Cabinet Minister after the welfare proposal and consider issues related to the ethical progress of biomedical, social and law enforcement and the development of the draft law.
The fifth chapter of the patient and the rights and obligations of citizens health care 25. State population to guarantee everyone the right to receive a first and an ambulance.
26. the State guaranteed medical aid for State or local government funds are provided to the citizens of the Republic of Latvia, aliens and stateless persons whose passports have a personal code and registered in the population register of Latvia, as well as the detainees, in detention and investigation, with notiesātaj persons. Such assistance is provided at the time and place in which this assistance was required, and in such cases the treatment is carried out in accordance with the standards approved by the Ministry of Welfare.
27. General medical assistance this provision 26. persons referred to in point is given for insurance companies, employers, and the patient's personal or other means in accordance with the law.
28. Aliens and stateless persons whose passports not ID code and which are not registered in the population register of Latvia but who legally reside in the Republic of Latvia, shall receive medical assistance for a fee.
29. Anyone who knows that he is suffering from a contagious disease, is obliged to go to a doctor and to comply with the provisions of the sanitary facilities to prevent further spread of the disease.
30. the patient has the right to his understandable way to get from the referring physician information about their disease diagnosis, investigation and treatment plan, as well as about other treatments and prognosis.
31. the patient has the right to receive information on treatment process from other medical people their competence level.
32. The patient or his or her closest relatives, legal representatives (guardians, guardians) have the right to fully or partially withdraw from the proposed examination or treatment, whereof the signature. The doctor should explain the potential consequences of such action. If the patient accepted treatment plan, he must comply with all the treatments and care treatment of individuals.
33. the patient has the obligation by registering medical institution, to present a personal identity document.
34. it is the responsibility of the Patient to follow the treatment guidelines treatment of persons in the process, to respect the medical authorities, the arrangements at the time of treatment the patient should not take actions that might harm his health (smoking, alcohol, toxic and narcotic substances, etc.).
35. The patient or his close relatives, legal representatives (guardians, guardians) have the right to receive information relating to the patient's treatment in the medical institution.
The sixth chapter of the personal Treatment and medicine 36. Deal with medical treatment allowed persons with medical education and who are registered in the Ministry of welfare.
37. The medical specialties of individuals names and their classification is determined by the Cabinet of Ministers of the Republic of Latvia approved professions, but the medical persons in a specific specialty medicine regulated by the regulations of the respective specialties which are approved by the Ministry of welfare.
38. medical education diploma (degree) enables a person to pursue the acquisition of medicine only under the supervision of a person for treatment or control that has the rights of a specialist.
39. the right of a specialist in the treatment of the person certifying the certificate produced by the certification examination of the Cabinet of Ministers regulations.
40. the Minister of Public Welfare organizations, medical professional associations of persons (associations), and the Latvian Medical Academy proposals submitted annually to develop and the Government Gazette issued the medical authorities and lists of treatment laid down in the order entitled to treatment personal training specialist practice of law.
41. the rights of a specialist acquired the treatment a person can work independently as a treatment to monitor and manage the medical establishment or the Department.
42. The medical person with at least 25 years of seniority in the treatment, the rights of a specialist can get by without a certification exam for sorting and certificate (39). In such cases, medical professionals practices assimilated to a person may be awarded with the order of the Minister of welfare by social organizations, medical professional associations of persons (associations) of the proposal, but in those specialties that medical professional associations of persons do not have the right to engage in certification issues, at the request of the person for treatment.
43. the Treatment of persons may obtain the rights only of a specialist Ministry of welfare in certain medical fields.
44. persons with foreign medical education diploma (degree) can get the right to practise medicine in the Republic of Latvia after the diploma (degree) of accredited Latvian nostrifikācij medical institutions it established. The rights of a specialist that the person is obtained in these regulations.
45. the treatment of Foreign persons who arrive in Latvia by the Latvian Academy of Medicine, social organizations, medical professional associations of persons (associations) or the invitation of the Ministry of welfare to train individuals for treatment, raise their qualifications, advise patients, can deal with treatment in the Republic of Latvia Ministry of welfare issued only with the duration, which is issued for a period of up to one year.

46. A necessary condition for the treatment of Parties Registration registers Ministry of welfare service in Latvia is oath accredited medical school or medical ethics code signing central medical ethics committee hearing.
47. In higher and secondary medical education curriculum within the audience engaged in patient treatment or dzemdībpalīdzīb treatment only under direct supervision of a person who has the rights of a specialist.
48. Treatment Services Manager is called to disciplinary, administrative and criminal liability if she led medical institution selects and applies the Welfare Ministry confirmed in medical technology.
49. Treatment Services is the responsibility of the driver to determine the order in which the medical institution selects and applies the Welfare Ministry approved medical technologies.
50. Medical treatment a person is personally responsible for the Welfare Ministry approved the selected in the use of medical technology and its consequences.
Chapter 7 obligations of treatment and the right medicine 51. each treatment a person is obliged to give the first and emergency medical assistance in the case of a human life is at risk.
52. the treatment has the right to refuse the first and urgent medical conditions that cause danger to his own life.
53. the treatment of persons within their competence, are obliged to take immediate measures, investigations, treatment with surgical intervention, in cases where the threat to the patient's life of hesitation and when it is not possible to accept the patient, his next of kin or legal representative (guardian, trustee). In such cases, investigation and treatment plan is approved and adopted the decision konsilij the doctor (except this rule 51, paragraph case that should provide the first or emergency medical help).
54. details of patient treatment, disease diagnosis and prognosis, as well as news that ārsniecīb persons in the process of treatment for the patient and collected his nearest relative privacy, is confidential and may only be provided for other treatments. Health and integrity Inspection Commission (VDEĀK) of doctors, police, prosecutorial and judicial authorities with the following information, if they affect the patient's health, the public or national interest, be provided with treatment services manager signed by these authorities only permission Manager a written request indicating the particular patient.
55. the treatment has the right to refuse to provide these telephone provision in paragraph 54.
56. the treatment of persons in the National Statistical Committee to provide regular medical statistical news laws.
57. the permanent incapacity of the Person finds your treating doctor singlehandedly, but prolonged physical and mental ability to limit, doctor konsilij.
58. the Temporary incapacity of formal procedure determined by the instructions of the Ministry of welfare.
59. in cases where the patient is not at risk of life, but the patient does not follow the prescribed treatment, does not comply with the doctor's instructions or deliberately harm your health (smoking, alcohol, etc.) and in this way, the direct impact on the disease treatment, the medical people have the right to refuse further treatment from the patient.
60. If the medical person pharmacy or pharmacist found neglect and abuse in the manufacture of the medicinal product, the signs in issue or their quality, should be reported in writing to the national pharmaceutical inspection or doctor.
61. the prescription form rules of manufacture and prescription order governed by the Welfare Ministry instructions on prescription forms.
Chapter eight medical institutions 62. Treatment can create State institutions, local authorities and natural or legal persons receiving the accreditation provisions of the cabinet order.
63. Treatment Services acts as a State or local government budget authorities and the company (the company) in accordance with the laws, Cabinet of Ministers regulations, medical institutions of the by-laws, Constitution or statutes.
64. Each hospital must provide everything you need first and emergency medical assistance, but by choice and according to the status and profile of the authority — other types of medical assistance.
65. the national authorities shall be appointed by the head of the medical treatment Welfare Minister, but local medical directors, Municipal Council (Council) President on national doctor's proposal. Medical University and the clinic managers elect (designate) in accordance with the University's Charter.
66. Medical institutions — hospitals — without a licence under the operation of the laboratory and clinical, morphological, functional, bacteriological, serological and pathological study of palīgkabinet, having received accreditation in accordance with these rules.
67. the diagnostic or special treatment in his Office as a standalone treatment can only be opened by a certified medical person receiving welfare Ministry of accreditation.
The ninth chapter 68. Communicable diseases communicable disease list and the detailed rules for combating various communicable diseases for the Welfare Ministry's instruction.
69. The medical person with suspected contagious diseases, provide the patient with the investigation, treatment and patient contact person in the former observation, as well as the report on the case to relevant public authorities, in accordance with the instructions of the Ministry of welfare.
70. The rules referred to in paragraph 14 of the list of occupations includes workers must not continue, if they or persons who are in contact with them, have contracted a contagious disease. Resume the authorisation may be given medical treatment only after the person compulsory health checks.
71. Contagious disease spread of epidemic cases, State and local authorities (bodies), enterprises (companies) and organizations in liaison with the national physician should ensure measures pretepidēmisk Cabinet rules.
72. If communicable disease epidemic spread of the cases to State and local governments to combat existing medical service person is not sufficient, the Minister by order of prosperity can ask State and local medical person duties temporarily take any treatment for the qualifications of the person.
73. The police, customs and border control services are bound by the order of the Minister of welfare for those communicable diseases, agreed with the Interior Minister, Defence Minister and Finance Minister.
74. All tuberculosis patients who suffer from active tuberculosis should be provided in the form of specific medical treatment or outpatient hospital. Patient who refuses from the specific mode of treatment or medication for tuberculosis, are identifiable medical coercive measures prescribed by law.
75. A Person suffering from sexually transmitted diseases, syphilis — and its contagious period voluntarily not in treatment, is identifiable medical coercive measures prescribed by law.
76. a parent, guardian, and protector of the obligation to transmit to the treatment of dependent and disabled persons and minors, if they become infected with a sexually transmitted disease.
77. The medical person is obliged to inform the persons infected with sexually transmitted pathogens, the disease transmissibility, dissemination and prevention.
78. The medical person is obliged to interrogate the person suffering from sexually transmitted diseases, and to clarify the source of infection and sexual partners.
79. the Treatment of persons forbidden to divulge details of any persons in sexually transmitted diseases, AIDS and infection with the human immunodeficiency virus.
80. The news on sexually transmitted diseases, human immunodeficiency virus (AIDS) agents and patients, as well as details of the measures the disease scares, German and collect medical authorities Ministry of welfare procedures specified in the instructions.
81. in order to prevent the spread of communicable diseases from other countries in the border zone the Ministry of welfare services shall be provided in special units: karantīnsanitāro items. Karantīnsanitār installation of the items, functions and rights determined by the Cabinet of Ministers regulations.
The tenth chapter Alcoholism, drug abuse and the treatment of the patients of toksikomānij 82. Alcoholism, drug addiction and treatment takes place in nursing toksikomānij voluntarily after their election in State medical institutions, Cabinet of Ministers regulations prescribed agenda.
83. in cases where due to alcoholic beverages or other products in the patient of inebriation will be made public in a dangerous offence or administrative offence carried out systematically, with their actions endangering themselves, their closest relatives or society, the statutory compulsory social and psychological rehabilitation, but minors — empowering nature of forced features.

84. Alcoholism, drug addiction and toksikomānij patient social and psychological rehabilitation focuses on the disease's social and biological mitigation, and it applies the following compulsory medical measures and complex: 1) of the usual patient isolation negative environment;
2) patient orientation towards alcoholic beverages and the use of inebriation disruption;
3 create a patient's motivation) to further voluntary treatment possible.
85. Alcoholism, drug and patient toksikomānij the social and psychological rehabilitation of forced features are: 1) the sampling of police records and preventive police official written warning to the patient to stop the excessive use of alcoholic beverages and the use of inebriation and related administrative violations, as well as to initiate compulsory medical treatment;
2 admission in State records) and motivation, to interested patients initiate treatment of alcoholism is voluntary, toksikomānij or drug;
3 send by a court decision) on the social and psychological rehabilitation.
86. where alcoholism, drug abuse or toksikomānij of the patient affect the committed administrative and criminal offences and about them being convicted or already in prison, he has the right to require the law enforcement of the judgment of the Court of Justice and the substitution of the judgment for treatment of alcoholism, drug abuse or toksikomānij for social and psychological rehabilitation.
The eleventh chapter of the mental health 87. in cases where the police or civilian security services suspect that a validly hold the person is dangerous to the public psyche interference, police and civil security services are obliged to immediately organize medical persons — a psychiatrist — advice and give medical treatment to a person — a psychiatrist — a written report of the detained person's dangerous public offence.
88. the treatment of persons — a psychiatrist — consulting police and civil security services are organised, bringing the detainee specialized medical institution, calling on the police station of treatment a person — a psychiatrist or specialist medical emergency teams.
89. the identification of persons, search and surveillance, which is suffering from psihiskaj disease and whose behavior is dangerous to the public, the police and civil security services.
90. the psychiatric help only provide specialized treatment institutions.
91. Persons who lawfully recognized incapacitated, psychiatric help is provided by their guardians, or at the request of the protector with their written consent.
92. If the medical treatment person — a psychiatrist the person who arrived in the same or in law or in accordance with the procedure laid down in these provisions brought disease, finds it is — the psychiatric disorders that prevent them to make informed decisions, and if that person for further action can become dangerous to him or to the public, physicians, psychiatrists, the person has the right to carry out a psychiatric patient and the insertion of a specialized medical institution without the patient or his parents (the protector , guardian) permits.
93.92. These provisions in the cases referred to in point of treatment a person — a psychiatrist — konsilij for 72 hours is to be investigated by the patient and make the decision about whether a patient required further medical treatment in a specialized medical institution. Konsilij your decision shall immediately be notified to the patient's nearest relative or legal custodian (the guardian). If it is not possible to do so immediately, the notice should be sent in writing and must be made to the relevant entry of patient registration card, a specialized medical institution.
The TWELFTH chapter in health and disability, tiesmedicīnisk, and tiespsihiatrisk inspection 94. Long lasting or permanent physical or psychic ability in the case of restricted health and uptime expertise shall be carried out and the disability is determined by the health and integrity of the Inspection Commission (VDEĀK) physician, whose activities are governed by laws and Cabinet regulations.
95. the Tiesmedicīnisk and tiespsihiatrisk inspection performed by the perpetrator, the coroner's inquest, a prosecutor or a court decision in accordance with the law. Tiesmedicīnisk, arrangements and tiespsihiatrisk inspection, determined by the Cabinet of Ministers instruction.
96. The medical and psychiatric experts in the court action by the medical people in cities and districts, established the Ministry of welfare and the Ministry of Justice jointly approved regulations.
The thirteenth chapter closing issue 97.5 ° rule 12, paragraph 13, and 20.1 20.3 point and shall enter into force by 1 January 1996.
Prime Minister, Minister for State reform, Deputy Prime Minister m. cock Welfare Minister j. wheel 1994 in Riga on august 30.