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Amendments To The Cabinet Of Ministers On March 11, 2014 No 134 Of The Regulations ' Provisions On The Single Health Sector Electronic Information System "

Original Language Title: Grozījumi Ministru kabineta 2014. gada 11. marta noteikumos Nr. 134 "Noteikumi par vienoto veselības nozares elektronisko informācijas sistēmu"

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Cabinet of Ministers Regulations No. 748 Riga 2016 29 November (pr. No 65 31) amended Cabinet 2014 March 11 Regulation No 134 "rules on the single health sector electronic information system" Issued under the medical law the second part of article 78 and 79 part 1 of article 1.1. make Cabinet 2014 11. Regulation No 134 of March "rules on the single health sector electronic information system" (Latvian journal, 2014, 2015, 52. No; 248. no) the following amendments : 1.1. replace paragraph 3.2, the word "the" with the word "existing"; 1.2. to replace paragraph 3.2.1. numbers and the word "7.1, 7.2, 7.3, 7.4 and 7.7." with the figures and word "7.1, 7.2, 7.3, 7.4, 7.7, 7.9, 7.10, 7.11., 7.12.,.,., 7.15 7.14 7.13, 7.16, 7.17, 7.18..., and 7.20 7.19.."; 1.3. to supplement the provisions under section 3.2.4 as follows: "3.2.4. This provision referred to in paragraph 7.8. medical document – 25 years after the last entry;" 1.4. to supplement the provisions under point 4.9 in this wording: "centralized processing of 4.9 in these regulations with the health of the person referred to related data needed for vaccination to plan, organize, conduct and monitoring according to the provisions laid down in the vaccination order."; 1.5. to supplement the rules by 7.8 7.9 7.10, 7.11, 7.12.,.,.,., 7.14 7.13, 7.15, 7.16, 7.17.., 7.19 7.20 7.18.,., and the following of the paragraph: "7.8. inoculation passport (annex 8); 7.9. trauma, injury and poisoning incidents map (annex 9); 7.10. State the patient card (annex 10); 7.11. the results of the treatment of the patient in the State assessment (annex 11); 7.12. the map of the patient with mental and behavioural disorders (12); 7.13. diabetic patient card (annex 13); 7.14. the tuberculosis patient card (annex 14); 7.15. in oncologic patient registration card (15); 7.16. the treatment of oncologic patient card (annex 16); 7.17. occupational disease patient's registration card (annex 17); 7.18. occupational disease patient dynamic observation map (annex 18); 7.19. the card a patient with congenital anomalies (annex 19); 7.20. multiple sclerosis patient card (annex 20). "; 1.6. to replace the words "paragraph 8.3. the treatment of persons" with the words "health inspection, the assigned treatment person"; 1.7. the express section 11.4.3. the following wording: "this provision 4.11.4.3. data set out in the annex, except for those provisions of annex 4, paragraph 20 above, the data according to the regulations on the procedure for the issue of disability page. At the request of the patient, the medical establishment may not specify that annex 4 provisions 12. information referred to in paragraph 1; " 1.8. to supplement the rules by 11.4.7.,.,., 11.4.8 11.4.10 and 11.4.11 11.4.9.. subparagraph by the following: ' 8. these provisions 11.4.7. data set out in annex – section 11.4.1. these provisions in the order, if the medical establishment that rule 13, paragraph in the agreement with the national health service of the health information system has agreed on vaccination data processing health information system; 11.4.8. This provision 10. data set out in annex – immediately, but not later than 14 days after the commencement of treatment episodes; 11.4.9. This provision 11. data set out in annex – immediately, but not later than 14 days after the results of the evaluation of treatment episodes; 11.4.10. This provision 9, 12, 13, 14, 15, 16, 19 and 20 of the data set out in annex – immediately, but not later than 14 days after the diagnosis, treatment and evaluation of the progress of the disease; 11.4.11. these rules 17 and 18 the data set out in annex, not later than 60 days after the diagnosis, treatment and evaluation of the progress of the disease; " 1.9. Express 13.3. subparagraph by the following: "qualified person 13.3. electronic means of identification."; 1.10. adding to 13.1 3. subparagraph after the word "persons" with the words "granted" the health inspection; 1.11. to supplement the rules by 14.1 points as follows: "the medical establishment that 14.1 provides psychiatrists, narkolog or family doctor services, this provision in the agreement referred to in paragraph 13 of the health information system agreed with the national health service for this rule 7.10 and 7.11. in (applies to narkolog or family doctor) or in paragraph 7.12. these rules (refer to a psychiatrist or family doctor) for the processing of data in the health information system."; 1.12. supplement with 17.1 points as follows: "17.1 this provision 14.1 above the hospital's head of that rule 17.1. the treatment referred to in person – psychiatrist, narkolog or family doctor – in addition to assign user rights to a health information system to process this rule 7.10 and 7.11. in (applies to narkolog or family doctor) or in paragraph 7.12. these rules (refer to a psychiatrist or family doctor) those data."; 1.13. Express 23, 24, 25, 26 and 27 the following: "23. family doctor is entitled to process all health information system the accrued availability of limited data (except this rule 7.10 7.11 7.12., and referred to the data if the medical treatment person that rule 17.1 points in the order listed is not entitled to process the data, and paragraph 9 of these regulations, the data referred to in) of their registered patients but for short-term patients only if you have received their informed consent (patient's written authorization to the person for treatment to process health information system data collected on patients), except when the family doctor to replace another family doctor and has informed the national health service. 24. The medical person who provides Outpatient observation of patient dynamic, starting with the first visit of a patient at the treatment the person to the appropriate dynamic observation of ambulatory to completion, as well as treating a patient's electronic health care records service is entitled to process all health information system the patient data collected related to the provision of health services, with the exception of those provisions, and 7.11 7.12 7.10. data referred to in If the treatment the person referred to in paragraph 17.1 of these provisions in the order is not granted permission to process these data, and paragraph 9 of these regulations, the data referred to in. 25. Medical treatment person providing outpatient health care services, patient's outpatient visit per day and five working days after it, as well as treating a patient's electronic health care records service is entitled to process all health information system the patient data collected related to the provision of health services, with the exception of those provisions, and 7.11 7.12 7.10. data referred to in subparagraph, if the treatment the person referred to in paragraph 17.1 of these provisions in the order is not granted permission to process these data and paragraph 9 of these regulations, the data referred to in. Medical treatment of the person who issued the patient referral health care service, have the right to access the data for a given health care service at any time. 26. Medical treatment person providing inpatient health services, while the patient is in the hospital and in the physicians ' Office, 14 days after discharge from that is empowered to process all health information system the patient data collected related to the provision of health services, with the exception of those provisions, and 7.11 7.12 7.10. data referred to in subparagraph, if the treatment the person referred to in paragraph 17.1 of these provisions in the order is not granted permission to process these data and paragraph 9 of these regulations, the data referred to in. 27. the medical treatment person providing emergency medical assistance, one day after the receipt of the summons or the provision of assistance are entitled to process all health information system the patient data collected related to the provision of health services, with the exception of those provisions, and 7.11 7.12 7.10. data referred to in subparagraph, if the treatment the person referred to in paragraph 17.1 of these provisions in the order is not granted permission to process these data, and the provisions referred to in paragraph 9 data. "; 1. replace paragraph 30, the words "the law" on the rights of the patient with the words and figures "patients ' rights law in article 5.2 under '; 1.15. replace paragraph 31, the words "identity card" with the words "qualified persons" electronic means of identification; 1.16. supplement with 20.4. subparagraph by the following: "to abandon vaccination 20.4.."; 1.17. paragraph 33 be expressed as follows: "33. Patient who does not have access to the health information system, in accordance with the specified authentication type, the health information system the information accumulated for himself, the person who notified it about your minor children, and persons in custody may be consulted, subject to prior agreement between the person concerned family doctor or his practice of Medicine working in the presence of the person, if the family doctor agrees. In this case, requires the patient's informed consent. " 1.18.33.3 points to express the following: 33.3 "State social insurance agency in the health information system processing the information about the concluded and withdrawn disability pages (B) referred to in annex 4 of these regulations 1.1., 1.2, 1.4, 1.5, 1.6, 1.7, 1.8, 2.2 and 2.4 and point 4, 5, 6, 7, 8, 9, 10, 11, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23. 25 and 26, paragraph. "; 1.19. the supplement to chapter III 20.8 point as follows: "the State Labour Inspectorate 20.8 treats health information system the provisions contained in annex 4 and 5 in point 1.1., 14., 17., 18., and the information referred to in paragraph 26 of the concluded and withdrawn disability pages where as the cause of the incapacity specified in the accident at work."; 1.20. paragraph 36 be expressed as follows: "36. Until 2017 august 31, the medical establishment in the health information system prepare for this rule 7.2., 7.3., 7.7 and 7.8. referred to medical records patient issued in paper form, but this rule 7.1. – referred to only when it is intended to submit to another medical institution."; 1.21. supplement with 24.3 points by the following: "these rules, 24.3 6.14.1 6.14.3., 32.4.3. and 32.4.4. requirements referred to in the health information system provides 25 may 2018."; 1.22. Express 41, 42 and 43 of this.: "41. This provision and paragraph 13.2 13.1 have effect until 31 December 2018. 42. This provision, section 13.3 shall enter into force on January 1, 2019. 43. paragraph 31 of these regulations shall enter into force on January 1, 2019. Until 2018. December 31, patient health information systems data access, health information system for authentication by using one of the Latvian state portal www.latvija.lv the provided authentication modes. "; 1.23. Express 45. and paragraph 46 by the following: "45. Medical institutions are obliged to provide online health information system: 45.1. of 2016 December 1 – this provision in point 11.4.5. the data supplied; 45.2. from September 1, 2017 – 11.4.1, 11.4.2. these provisions.,.,., 11.4.8 11.4.6 11.4.3., 11.4.10 and 11.4.11 11.4.9.,. in data, as well as the provisions in the listed data 11.4.4, prescribing medication, the purchase of which the patient partially or fully compensated from the State budget. 46. Drugstore (drugstore Branch) from September 1, 2017 is obliged to provide online health information system this rule 11.6. data specified in subparagraph. "; 1.24. supplement with 47 points as follows: "47. family doctor the right to processing this rule 7.10 7.11 7.12., and the data set out in the health information system is assigned with the September 1, 2017."; 1.25 supplement annex 4 paragraph 12 with the second sentence as follows: "If the patient requests that data do not specify indicates diagnosis code Z 76.8" personal contact with health services in other specified circumstances '. "; 1.26. supplement with 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19 and 20 of the annex as follows: "Annex 8 Cabinet 2014 March 11 of Regulation No 134 inoculation Passport 1. Patient information: 1.1 personal code; 1.2. the name (name), surname; 1.3., registered or declared in the persons home address; 1.4. the persons listed in the contact information (phone number, e-mail address, address of actual residence). 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the medical treatment person's name (name), surname. 3. information about the immune deficiency. 4. Vaccination induced complications (complications of pēcvakcinācij): 4.1 date and time of complications; 4.2. * complications; 4.3. diagnosis (according to current international statistical problems of disease and health classification 10. Edition (ICD-10)); 4.4. data on vaccination, in which experiencing complications. 5. Data on vaccination: vaccination date * 5.1; 5.2. the vaccine name, information about the preparation and administration of it; 5.3. the payer; 5.4 notes. 6. the tuberculin test: 6.1. information on preparation and entry; 6.2. the result; 6.3. the date of the result.  7. Immunoglobulin infusion: 7.1. communicable diseases (against which the immunoglobulin entered); 7.2. information on the preparation and administration of it; 7.3. the remarks. 8. The immunity test: 8.1. infectious disease; 8.2. the name of the laboratory; 8.3. test name; 8.4. test date; 5.3. test result. 9. additional information: 9.1 information; 9.2. the date when the additional information is added. 10. Contraindications to vaccination: 10.1. information about the vaccine, which is contraindicated; 10.2. a description; 10.3. date when certain contraindications *; 10.4. contraindications the deadline. 11. Pārslimot infection: 11.1. infectious disease; 11.2. date of disease; 11.3. Description. 12. The planned vaccination: 12.1 name of the vaccine; 12.2. due from and to which vaccination to be carried out; 12.3. the pot number *; 12.4. Note; 12.5. status. 13. the refusal of vaccination: 13.1. infectious disease and vaccine; 13.2. the pot number; 13.3. the notes; 13.4. the withdrawal date. 14. date of Completion. Note the. * fill in the medical establishment. 9. Annex Cabinet 2014 March 11. Regulations No trauma, injuries and 134 poisoning case card the card body 1. Patient information: 1.1 name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. ethnicity; 1.5., registered or declared in the persons home address; 1.6. the declared place of residence administrative and territorial unit code; 1.7. the occupation; 1.8. * citizenship. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the medical treatment person's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. Age at the time of making the injury. 4. details of pregnancy and gestational week injuries at the time of generation. 5. From the hospital discharged (deceased) card number of the patient or the patient's outpatient medical record number. 6. the date and time of arrival to the Emergency Department/outpatient hospital part. 7. the date when the patient is discharged from the hospital. 8. Treatment: 8.1. treatment and future treatment process; 8.2. the number of days spent in hospital. 9. The date and time when the trauma/injury gained or poisoning. 10. Location of alcohol and other psychoactive substances affect the trauma/injury/poisoning the generating point.  11. the progress of the event vieta1. 12. veids1 * injury. 13. The wounded body part1 *. 14. Diagnosis: 14.1. pamatdiagnoz – code and name (according to the current international statistical problems of disease and health classification 10. redaction (ICD-10)); 14.2. blakusdiagnoz – code and name (ICD-10).  15. Purpose: 15.1. type *; 15.2. If deliberate self-harm: 15.2.1 urgent risk faktors1; 15.2.2. earlier made deliberate self-harm; 15.3. If an attack or other forms of violence: 15.3.1. in connection with the guilty upuri1 *; 15.3.2. guilty of sex; 15.3.3. the age; 15.3.4. the iemesls1 attack. 16. Activity type injuries/injury/poisoning of the eu1. 17. Trauma/injury/poisoning the brief description (such as the circumstances, causes).
(A) injuries and wounds that correspond to ICD-10 diagnosis codes 00.0 – T 1 S 35.7. Trauma/injury pamatmehānisms1. 2. Trauma/injury direct mehānisms1. 3. transport accident Injury: injured person 3.1 movement veids1; 3.2. the injured person's transport role not a deficit1; 3.3. other transport accidents in puse1 *. 4. the basic subjects, or causing injury to viela1 *. 5. Injury or causing direct object viela1. 6. Injury causing the curricular or viela1. 7. fill in the date of the card.
B poisoning that corresponds to ICD-10 diagnosis codes T-T 1 65.9 22.4 patient weight (kg). 2. The patient's arrival in the way medical institution. 3. place in the category that the poisoning took place. 4. Poisoning caused by chemical name, group, quantity and unit of measure and the active ingredients1 *. 5. The initial clinical status. 6. the nature of the Exposure. 7. the duration of the Exposure. 8. substances getting into the path in the body. 9. Treatment *. 10. Poisoning patient outcome if you sign out from the medical authorities. 11. date of the completion of the card.
(C) part of the poisoning with pesticides that meet the ICD-10 diagnosis codes T-T 60.9 60.0 1. Difficult moment of intoxication. 2. product identity: 2.1 product name; 2.2. the concentration. 3. substances chemical type. 4. fill in the date of the card. Notes 1 1 code indicated for the injury database encoding Manual. 2. Fill in the medical establishment. 10. Annex Cabinet 2014 March 11 of Regulation No 134 State patient card 1. Patient information: 1. name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. the registered or declared, in the persons home address; 1.5. the declared place of residence administrative and territorial unit code; 1.6. the nationality. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the doctor's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. Get training: 3.1 for the highest level of education; 3.2. number of years learning, if you have not completed primary education. 4. economic activity. 5. type of Housing. 6. household composition (family). 7. Kids (0-6 years): 7.1. total number *; 7.2. including living in the same household with the patient. 8. children (7-17 years): 8.1 total number *; 8.2. including living in the same household with the patient. 9. the Person or authority that transmitted or recommended to visit narkolog (without personally identifiable information). 10. Diagnosis: 10.1 pamatdiagnoz-code and name (according to the current international statistical problems of disease and health classification 10. Edition (ICD-10)); 10.2. blakusdiagnoz – code and name (according to the current international statistical problems of disease and health classification 10. Edition (ICD-10)). 11. Treatment episodes launch date. 12. the planned treatment episodes end date *. 13. The results of the visit/the type of assistance provided outpatient and hospital. 14. Treatment episodes end date *. 15. Treatment episodes end reason. 16. Pathological gambling/computer games/internet *. 17. The most commonly used type of spirit drink (last 30 days). 18. the average absorbed dose of alcohol per day (last 30 days). 19. Drinking day (last 30 days): 19.1. number of days when applied to 60 to 120 grams of absolute alcohol; 19.2. the number of days when used more than 120 grams of absolute alcohol. 20. The audit of test scores. 21. the Age of first use of the addictive substance (except alcohol, tobacco). 22. the First use of the addictive substance (except alcohol, tobacco). 23. Psychoactive substances (except alcohol) habits: 23.1. substance use; 23.2. the substance used is the key – yes/no *; 23.3. the route of administration; 23.4. frequency of use; 14.6. the age of the substance used for the first time. 24. main substance can be determined. 25. The above treatment to long-term opioid pharmacotherapy program *. 26. Injecting experience. 27. the Injecting equipment sharing. 28. the age of first injection. 29. HIV testing (patient information). 30. HCV testing (patient information). 31. the completion date of the card. Notes 1. Fill in the medical establishment. 2. Audit-alcohol use disorders identification test. 11. the annex to Cabinet of Ministers March 11, 2014. the Regulation No. 134 in the patient's medical State assessment results 1. Patient information: 1.1 personal code; 1.2. the name (name), surname. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the doctor's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. the date of the patient's health status assessment. 4. Drinking habits: 4.1 average alcohol intake per day (last 30 days); 4.2. use of alcohol a day (last 30 days); 4.3 audit ** test points. 5. the use of psychoactive substances (excluding alcohol) (last 30 days): 5.1 substance use; 5.2. use of the substance is the main – yes/no *; 5.3. type of use; 5.4. frequency of use; 5.5. injecting (last 30 days); 5.6. injection supplies common use (last 30 days). 6. The patient's State of health self-evaluation starting treatment and after treatment episodes completed. 7. Occupation (salaried employment being, school attendance) and determine the place of residence of the entity starting treatment and after treatment episodes completed. 8. fill in the date of the card. Notes 1. Fill in the medical establishment. 2. Audit-alcohol use disorders identification test. 12. Annex Cabinet 2014 March 11 of Regulation No 134 map patient with mental and behavioural disorders 1. Patient information: 1.1 name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. ethnicity; 1.5., registered or declared in the persons home address; 1.6. the declared place of residence administrative and territorial unit code; 1.7. the actual residence address; 1.8. the actual administrative and territorial unit of residence code *. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the medical treatment person's name (first name) and last name (*); 2.4. the health inspection, the assigned treatment person's identifier. 3. history of the disease or the outpatient patient medical record number. 4. the occupation. 5. a description of the situation. 6. the composition of the family. 7. the highest educational level. 8. source of funds Pamatiztik. 9. The patient care group. 10. the date when the patient is included in the register (the first time). 11. the date when the patient is included in the register again. 12. the first assigned to mental illness of disability: disability group 12.1; 12.2. the disability award year. 13. invalidity reassigned psychiatric illness: 13.1 disability group; 13.2. the disability award year. 14. Public action dangerous *. 15. Forced treatment medical institution by a court decision. 16. the Person or authority that transmitted or recommended to visit a psychiatrist (without personally identifiable information). 17. Diagnosis: 17.1. mental disorders pamatdiagnoz-code and name (according to the current international statistical problems of disease and health classification 10. redaction (ICD-10)); 17.2. mental disorders-blakusdiagnoz code and name (ICD-10); 17.3. other blakusdiagnoz – code and name (ICD-10); 17.4. the social-blakusdiagnoz code and name (ICD-10). 18. changes in the pamatdiagnoz mental disorders: 18.1. pamatdiagnoz clears – diagnosis code and name (ICD-10); 18.2. pamatdiagnoz of change – diagnosis code and name (corresponding to (ICD-10). 19. the number of Hospitalization in the year. 20. Treatment *. 21. additional information. 22. the completion date of the card. Note the. * fill in the medical establishment. 13. Annex Cabinet 2014 March 11 of Regulation No 134 diabetic patient card 1. Patient information: 1. name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. the registered or declared, in the persons home address; 1.5. the declared place of residence administrative and territorial unit code; 1.6. the nationality. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the medical treatment person's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. Diagnosis-code and name (according to the current international statistical problems of disease and health classification 10. Edition (ICD-10)). 4. the year in which a specified diabetes diagnosis. 5. Year, which initiated the preparation of antidiabētisk oral use. 6. Year in which started insulin therapy. 7. implementation of training skills. 8. Pregnancy in the last 12 months. 9. Clinical study and the results of the last 12 months. 10. Diabetes complications, the study and manipulation of the last 12 months: 10.1. check, make the eye manipulation and the retinopātij found; 10.2. checking, your foot manipulation and the difficulties encountered; 10.3 terminal kidney complications. 11. Cardiovascular disease in the last 12 months. 12. A designated treatment *. 13. additional information. 14. date of the completion of the card. Note the. * fill out the medical establishment 14. Annex Cabinet 2014 March 11 of Regulation No 134 tuberculosis patient card 1. Patient information: 1. name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. ethnicity; 1.5., registered or declared in the persons home address; 1.6. the declared place of residence administrative and territorial unit code; 1.7. the actual residence address; 1.8. the actual administrative and territorial unit of residence code; 1.9. occupation: 1.9.1. type *; 1.9.2. the position, if the patient working in medical institution; 1.10. the birth of the country. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the medical treatment person's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. Administrative area code in which the patient will take the registry records. 4. the date the patient is included in the register. 5. the monitoring group. 6. Diagnosis: 6.1 code and name (according to the current international statistical problems of disease and health classification 10. Edition (ICD-10)); 6.2. the date when the diagnosis set for the first time; 6.3. situation of the diagnosis of the open; 6.4. the method by which the diagnosis confirmed.  7. Risk factors. 8. Cure rate and start time. 9. Method of treatment. 10. Surgical treatment. 11. Abacilēt after 2-3 months *. 12. Treatment under direct supervision. 13. The date when the course of treatment is assessed. 14. the result of the Treatment. 15. the number of days spent in Hospital. 16. Date you checked out material for tuberculosis mikobaktērij the determination of the sensitivity. 17. Resistance to medications. 18. Change of the observation group: 18.1; 18.2. the date when the change of the observation group. 19. the date when the patient is removed from the records. 20. additional information. 21. The patient died of tuberculosis in the first year/first month *. 22. Repeated course of treatment: 22.1. diagnosis code and name (according to the current international statistical problems of disease and health classification 10. Edition (ICD-10)); 22.2. the place to begin treatment; 22.3. the date when you started the course of treatment; 22.4. method of treatment; 22.5. surgical treatment; 22.6. abacilēt after 2-3 months; 14.1. the treatment under direct supervision; 22.8. the date when the course of treatment is assessed; 22.9. result of treatment; 22.10. the number of days spent in hospital. 23. the date when the card was completed. Note the. * Fill in the medical establishment. 15. Annex Cabinet 2014 March 11 of Regulation No 134 Oncologic patient registration card 1. Patient information: 1.1 personal code; 1.2. the name (name), surname; 1.3. the sex; 1.4. the registered or declared, in the persons home address; 1.5. the declared place of residence administrative and territorial unit code; 1.6. the nationality. 2. The medical establishment and treatment of the person who completed a medical document: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the doctor's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. Diagnosis: 3.1 the date when a specific diagnosis; 3.2. the diagnosis code and name (according to the current international statistical problems of disease and health classification 10. Edition (ICD-10)); 3.3. rare diseases under the name and code of the Orphanet classification of rare diseases; 3.4. the nature of the diagnosis; 3.5. the method by which the diagnosis justified; 3.6. the method by which confirmed; 3.7. tumor localization over the organs, anatomical parts. 4. Tumor morphology and the code corresponding to the current international statistical problems of disease and health classification 10. Edition (ICD-10). 5. Risk factors. 6. Delayed diagnostic reasons. 7. the stage of the Disease. 8. classification of Tumours according to clinical classifications: tNM classification 8.1; 8.2. the FIG * klasifikācija1; 8.3. Breslow method; 8.4. Gleason method; 8.5. the French-American-British (FAB) classification; 8.6. the chronic stage of mieloleikoz; 8.7. the degree of anaplāzij central nervous system malignant tumors. 9. Remote metastasis: 9.1. date of diagnosis; 9.2. the locales.  10. additional information. 11. date of the completion of the card. The notes. 1.1 international obstetricians and Gynecologists Association (International Federation of Obstetrician and Gynaecologist) classification. 2. Fill in the medical establishment. 16. Annex Cabinet 2014 March 11 of Regulation No 134 Oncologic patient treatment card 1. Patient information: 1.1 personal code; 1.2. the name (name), surname; 1.3. the sex; 1.4. the registered or declared, in the persons home address; 1.5. the declared place of residence administrative and territorial unit code; 1.6. the nationality. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the doctor's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. Diagnosis: 3.1 diagnosis code and name (according to the current international statistical problems of disease and health classification 10. Edition (ICD-10)); 3.2. tumor localization over the organs, anatomical parts. 4. Surgical treatment: surgical treatment 4.1 way; 4.2. the name of the operation and the code according to the NCSP + klasifikācijai1 *;
4.3. the date of the operation. 5. Radiation Therapy: radiation therapy 5.1 start and end dates; 5.2. radiation therapy type *. 6. Chemotherapy: chemotherapy 6.1. start and end dates; 6.2. chemotherapy course drug generic names; 6.3. chemotherapy course number; 6.4. type of chemotherapy. 7. Endocrine therapy: endocrine therapy 7.1. start and end dates; 7.2. the General name of the medicinal product; 7.3. the endocrine therapies. 8. Immunotherapy: immunotherapy 8.1 start and end dates; 8.2. the General name of the medicinal product. 9. Mērķterapij: 9.1. mērķterapij start and end dates; 9.2. the General name of the medicinal product; 9.3. course number received. 10. date of receipt of treatment 131J. 11. Peripheral Blood stem cell transplant: autologous transplant 11.1 date; 11.2. the transplantation date * allogēn; 11.3. the transplant donor allogēn (without personally identifying data). 12. Symptomatic therapy starting date *. 13. the progress of the Disease: disease progression 13.1. date of diagnosis; 13.2. the local relapse diagnosis date; 13.3. remote metastases diagnosis date; 8.3. remote metastases locale and code according to the TNM classification; 13.5. remission of disease diagnosis date. 14. the future treatment/observation. 15. additional information. 16. the completion date of the card.  The notes. 1.1 Nordic Medical Statistics Committee (Nordic-Statistical Committee Medic (NOMESC)) surgical manipulation with the addition of classification (NOMESC the Classification of Surgical procedures (NCSP)) current version. 2. Fill in the medical establishment. 17. Annex Cabinet 2014 March 11 Regulation No 134 occupational disease patient registration card 1. Patient information: 1. name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. ethnicity; 1.5., registered or declared in the persons home address; 1.6. the declared place of residence administrative and territorial unit code. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the medical treatment person's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. The consignor: 3.1. hospital's name; 3.2. hospital's medical authorities the code register; 3.3. medical treatment person's name (name), surname; 3.4. Health inspections, the assigned treatment person's identifier. 4. the date when the first set of occupational diseases. 5. Occupational disease patient's registration card number. 6. the State Labour Inspectorate of the sent message to the number. 7. Occupational disease diagnosis (according to current international statistical problems of disease and health classification 10. Edition (ICD-10)). 8. Jobs in which the patient had contact with harmful factors of the job. seniority: 9 9.1. total length of service; 9.2. seniority in harmful occupations. 10. the profession of occupational exposure during izraisītājfaktor. 11. The economic activity of the izraisītājfaktor of the occupational exposure in accordance with NACE Rev. 2 (statistical classification of economic activities in the 2nd Edition). 12. first-time recognition of the occupational disease year. 13. the severity of the disease occupational disease recognition during the first. 14. Occupational diseases and occupational classifications according to the izraisītājfaktor investigation and accounting regulatory laws: 14.1. an occupational disease; 14.2. the occupational diseases occupational diseases prevail in izraisītājfaktor diagnosis (according to current international statistical problems of disease and health classification 10. Edition (ICD-10)); 14.3. occupational diseases * izraisītājfaktor; 14.4. izraisītājfaktor use of occupational category; 14.5. the actual harmful arodfaktor concentration or level; 14.6. the actual harmful arodfaktor concentration or level exceeding the norm. 15. Map the fill date. Note the. * Fill in the medical establishment. 18. Annex Cabinet 2014 March 11. Regulations No 134 occupational disease patient dynamic observation card 1. information: 1. name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. ethnicity; 1.5., registered or declared in the persons home address; 1.6. the declared place of residence administrative and territorial unit code. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the medical treatment person's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier. 3. The consignor: 3.1. hospital's name; 3.2. hospital's medical authorities the code register; 3.3. medical treatment person's name (name), surname; 3.4. Health inspections, the assigned treatment person's identifier. 4. date of the doctor's visit. 5. Occupational disease patient's registration card number. 6. Disability: 6.1 the date when disability due to occupational disease granted; 6.2. occupational disease diagnosis (according to current international statistical problems of disease and health classification 10. redaction (ICD-10)); 6.3. General disease diagnosis (ICD-10); 6.4. the disability group; 6.5. the percentage of loss of capacity; 6.6. cause of death (the cause of death and the code according to the ICD-10); 6.7. the date when the death occurred; 6.8. in connection with the death of occupational diseases. 7. the year under review from my illness: 7.1. diagnosis (ICD-10); 7.2. a first-time or chronic illness; 7.3. the number of days of incapacity; 7.4. without rehabilitation treatment in hospital; 7.5. the rehabilitation treatment institution. 8. Compulsory Health checks for disease diagnosis found (according to ICD-10). 9. Chronic Disease diagnoses to the beginning of work in harmful (ICD-10). 10. Occupational diseases and occupational classifications according to the izraisītājfaktor investigation and accounting regulations governing the: 10.1. occupational disease; 10.2. the occupational diseases occupational diseases prevail in izraisītājfaktor diagnosis (ICD-10); 10.3. occupational diseases * izraisītājfaktor; 10.4. izraisītājfaktor use of occupational category *. 11. date of the completion of the card. Note the. * Fill in the medical establishment. 19. Annex Cabinet 2014 11. Regulation No 134 of March card a patient with congenital anomalies 1 and curative medical establishment person: 1.1. hospital's name; 1.2. the hospital's medical authorities to register the code; 1.3. the medical treatment person's name (name), surname; 1.4. the health inspection, the assigned treatment person's identifier. 2. history of the disease or the outpatient patient medical record number.
I. child 3. Patient information: 3.1. personal code; 3.2. the date when the patient is born; 3.3. name (name), surname; 3.4. gender; 3.5., registered or declared in the persons home address; 3.6. the declared place of residence administrative and territorial unit code; 3.7. the actual residence address; 3.8. the actual administrative and territorial unit of residence code *. 4. Born alive/dead. 5. the Asistēt type of fertilisation. 6. News of the pregnancy. 7. details of birth: 7.1. where giving birth was born; 7.2. where the pregnancy week was born; 7.3. body weight; 7.4. the length of the body. 8. the date of the child's death occurred. 9. Survival longer than one week. 10. the diagnosis set for the live/dead. 11. Diagnosis: 11.1 11.1.1 pamatdiagnoz *: date of determination; 11.1.2. the name and code (according to current international statistical problems of disease and health classification 10. redaction (ICD-10)); 11.1.3. rare disease name and code (name and orfān code according to the Orphanet classification of rare diseases); 11.2. blakusdiagnoz (congenital malformations) (ICD-10); 11.3. pathological diagnosis (ICD-10). 12. the period of diagnosis. 13. Prenatal diagnosis: Ultrasound: 13.1 13.1.1. pregnancy week, which was carried out; 13.1.2. the result; 13.1.3. diagnosis (ICD-10); 13.2. chorionic villus biopsy: 13.2.1. pregnancy week, which was carried out; 13.2.2. the result; 13.2.3 diagnosis (ICD-10); 13.3 13.3.1. amniocentēz: pregnancy week, which was carried out; 13.3.2. result; 13.3.3. diagnosis (ICD-10); 8.3. other studies (including biochemical, comb and other risks): 13.4.1. pregnancy week that; 13.4.2. the result; 13.4.3. diagnosis (ICD-10); 13.4.4. additional information about the study. 14. type of the disease. 15. the genetic type of the disease. 16. Monogēn code of disease according to McKusick classifier. 17. the Kariotip characteristics.
II. the mother 18. name (name), surname. 19. personal code. 20. Age *. 21. persons declared, or in the registered residence address. 22. the declared place of residence administrative and territorial unit code. 23. The actual residence address *. 24. The actual administrative and territorial unit of residence code *. 25. How long are living or actual residence declared (in full years). 26. the previous address of residence. 27. the Nationality. 28. the profession of pregnancy trimester 1 *. 29. Safety at work. 30. Addictions. 31. the history of Reproduction: 31.1. the total number of pregnancies; 31.2. the number of children born to life *; 31.3. stillborn child number; 19.5. the number of children of the deceased; 31.5. the spontaneous and not what happened (missed), the number of abortions; 19.6. the number of legal abortions; 19.7. the number of medical abortion. 32. Chronic Disease diagnoses before pregnancy (congenital malformations) (ICD-10). 33. The disease during pregnancy *: 33.1. pregnancy week; 33.2. diagnosis (ICD-10). 34. harmful factors during pregnancy (each factor indicates pregnancy week): 34.1. irradiation; 21.3. the use of the medicinal product; 21.3. other factors. 35. Folic acid use. 
III. Father 36. name (name), surname. 37. personal code. 38. Age *. 39. the Nationality. 40. the Occupation. 41. Safety at work. 42. Addictions. 43. The chronic diseases (ICD-10).
IV. Family 44. Relatives by marriage. 45. the preceding children with congenital anomalies: 45.1. gender; 45.2. the year of birth; 45.3. diagnosis (ICD-10). 46. the innate abnormality in his mother's family (the name and code of the diagnosis according to the ICD-10). 47. the innate anomalies in the father's family (the name and code of the diagnosis according to the ICD-10). 48. the completion date of the card. Note the. * Fill in the medical establishment. 20. Annex Cabinet 2014 March 11 of Regulation No 134 Multiple Sclerosis patient card I. Basic information 1. Patient information: 1. name (name), surname; 1.2. personal code; 1.3. the sex; 1.4. ethnicity; 1.5., registered or declared in the persons home address; 1.6. the declared place of residence administrative and territorial unit code; 1.7. the actual residence address; 1.8. the actual administrative and territorial unit of residence code; 1.9. the occupation; 1.10. the disability. 2. The medical establishment and treatment of the person: 2.1. hospital's name; 2.2. the hospital's medical authorities to register the code; 2.3. the medical treatment person's name (name), surname; 2.4. the health inspection, the assigned treatment person's identifier.
II. Family health history 3. Mother diagnosed with chronic illness (diagnosis name and code according to the ICD-10). 4. Father diagnosed with chronic illness (diagnosis name and code according to the ICD-10). 5. Brothers, sisters diagnosed with chronic illness (diagnosis name and code according to the ICD-10). 6. Children diagnosed with chronic illness (diagnosis name and code according to the ICD-10). 7. Multiple Sclerosis cases family: 7.1 mother; 7.2. the father; 7.3. brothers, sisters; 7.4 children.
III. Life History: 8 the vaccination against tuberculosis * 8.1; 8.2. against diphtheria, the long kind of cough, cramps; 8.3. a year after the last vaccination against tick encephalitis *; 8.4. a year after the last vaccination against diphtheria; 8.5. other vaccinations; 8.6. the reason if vaccination is not done. 9. Pārslimot infection. 10. Endocrine disease – diagnosis code and name (ICD-10). 11. Gynecological health history in: gynecological diseases – 11.1 diagnosis code and name (ICD-10); 11.2. the age when menstruation began; 11.3. the year began menopause; 11.4. gynecological operations and year of when it was made; 11.5. childbirth: 11.5.1. type *; 11.5.2. year *; 11.6.11.6.1. miscarriage: number; 11.6.2. the year in which the survey *.
IV. Multiple Sclerosis health history 12. The first clinical signs of the manifestation: 12.1. characteristics; 12.2. the start date. 13. the second clinical symptoms of flare: 13.1. characteristics; 13.2. the start date. 14. the actual place of residence (City) multiple sclerosis during the disease. 15. the last of the clinical symptoms flare: 15.1 characteristics; 15.2. the start date.
V. functional neurological disturbance Dynamics (16, 17, 18, 19, 20, 21, 22, 23 and 24, the year when the following symptoms are not permanent and/or permanently) 16. Visual impairment. 17. Brain stem function disorders. 18. Sensory disturbances. 19. Bowel and bladder dysfunction. 20. the movement disorder. 21. the coordination of movement disorders. 22. The higher nervous system disorders. 23. Sexual function disorders. 24. the disturbance of the vegetative system. 25. Diagnosis: 25.1. code and name (ICD-10); 25.2. the date when the diagnosis determined.
Vi. News on last visit 26. Complaints last visit: 26.1. visual impairment; 26.2. the brain stem functions; disturbances 26.3. sensory disorders; 26.4. bowel and bladder dysfunction; 26.5. mobility impairments; 16.5. movement and coordination problems; 16.6. central nervous system disorders; 26.8. sexual function disorders; 26.9. disorders of the vegetative system. 27. Neurological assessment of the situation after the Kurtzk of neurological disorders. 28. Advanced functional neurological status evaluation after Kurtzk of neurological impairment scale. 29. the progress of the Disease. 30. the form of the disease. 31. the phase of the disease. 32. Multiple Sclerosis diagnosis confirmation with magnetic resonance study *. 33. Date of magnetic resonance study *. 34. reference group and the year in which the patient is included in the relevant group. 35. Immunological fields: 21.8. conclusion; 35.2. date analysis. 36. The date when the card is filled. Note the. * fill out the medical establishment ". 2. the rules shall enter into force in 2016, on 1 December. Prime Minister Māris kučinskis, Minister of health of the Andean Čakš