did not come into force Edition from 30.11.2012
| Name document | ORDER of the Ministry of Health of the Russian Federation of November 30, 2012 N 991n "ON APPROVAL OF THE LIST OF DISEASES GIVING DISABLED, SUFFERING THEM, THE RIGHT TO ADDITIONAL RESIDENTIAL AREA" |
| Type of document | order |
| Host body | ministry of Health of the Russian Federation |
| Document Number | 991H |
| Date of adoption | 01.01.1970 |
| Date of revision | 30.11.2012 |
| Registration number in the Ministry of Justice | 26442 |
| Date of registration with the Ministry of Justice | 29.12.2012 |
| Status | did not come into force |
| Publication |
|
| Navigator | Notes |
ORDER of the Ministry of Health of the Russian Federation of November 30, 2012 N 991n "ON APPROVAL OF THE LIST OF DISEASES GIVING THE DISABLED SUFFERING WITH THEM THE RIGHT TO ADDITIONAL RESIDENTIAL AREA"
This document comes into force from the date of entry into force of the RF Government decree on recognizing as invalid the decree of the Government of the Russian Federation of December 21, 2004 N 817 ()
In accordance with article 17 of the Federal Law of November 24, 1995 N 181-FZ "On social protection of disabled people in the Russian Federation" (Collected Legislation of the Russian Federation, 1995, N 48, Art. 4563; 2005, N 1, Art. 25; 2008, N 30, Art.3616; 2012, N 30, Art.4175) and subparagraph 5.2.108 of the Regulation on the Ministry of Health of the Russian Federation, approved by the Government of the Russian Federation of June 19, 2012 N 608 (Collected Legislation of the Russian Federation, 2012 , N 26, Article 3526), \u200b\u200bI order:
1. To approve the list of diseases that give disabled people suffering from them the right to additional living space, according to the annex.
2. This order shall enter into force from the date of entry into force of the resolution of the Government of the Russian Federation on recognizing as invalid the resolution of the Government of the Russian Federation of December 21, 2004 N 817 "On approval of the list of diseases that give disabled people suffering from them the right to additional living space" (Collected Legislation of the Russian Federation, 2004, N 52, Art. 5488).
The minister
V. SKVORTSOVA
application
| N p / p | Name of diseases | ICD-10 disease code<*> |
| 1. | Tuberculosis of any organs and systems with bacterial excretion, confirmed by culture | A15; A17 - A19 |
| 2. | Chronic and protracted mental disorders with severe persistent or often exacerbated painful manifestations | F01; F03 - F09; F20-F29; F30 - F33 |
| 3. | Tracheostomy, fecal, urinary fistulas, lifelong nephrostomy, bladder stoma (if it is impossible to perform reconstructive surgery on the urinary tract and close the stoma), uncorrected urinary incontinence, unnatural anus (if it is impossible to restore the continuity of the gastrointestinal tract), malformations of the face and skull with impaired breathing, chewing, swallowing | Z93.0; Z93.2-Z93.6; K63.2; N28.8; N32.1-N32.2; N36.0; N39.4; N82; Q35 - Q37; Q67.0 - Q67.4 |
| 4. | Multiple skin lesions with profuse discharge | L10; L12.2; L12.3; L13.0; L88 |
| 5. | Arthropathic psoriasis requiring wheelchair use | L40.5 |
| 6. | Leprosy | A30 |
| 7 | HIV infection in children | B20-B24; Z21 |
| 8. | Lack of lower limbs or diseases of the musculoskeletal system, including hereditary genesis, with persistent dysfunction of the lower limbs, requiring the use of wheelchairs | M05 - M06; M16 - M17; M30 - M35; M45; Q72.0; Z89.7-Z89.9; Z99.3 |
| 9. | Organic diseases of the central nervous system with persistent dysfunction of the lower extremities, requiring the use of wheelchairs, and (or) with dysfunction of the pelvic organs | G35; G60.0; G71.2; G80; T90.2 - T90.9; T91.1; T91.3; Z99.3; Z99.8 |
| 10. | Conditions after transplantation of internal organs and bone marrow | Z94 |
| 11. | Severe organic kidney damage complicated by grade II - III renal failure | N03 - N05; N07; N11-N15; N20.9; N25-N28; N18 - N19 |
<*> International Statistical Classification of Diseases and Related Health Problems (tenth revision).
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New lists of diseases, in the presence of which benefits are provided for housing
In 2012, the Russian Ministry of Health approved List of diseases that give disabled people suffering from them the right to additional living space (Order of the Ministry of Health of Russia dated November 29, 2012 No. 987n) and the List of severe forms of chronic diseases in which it is impossible for citizens to live together in one apartment (Order of the Ministry of Health of Russia dated November 30, 2012 No. 991n). The documents have not entered into force and will be applied only after the cancellation of the currently valid Lists (approved by Decree of the Government of the Russian Federation No. 817 of 21.12.2004 and Resolution of the Government of the Russian Federation No. 378 of 16.06.2006). The texts of the new orders and the lists approved by them can be seen on the website of "Rossiyskaya Gazeta": and. Let's compare the new and the current Lists.
List of diseases that give disabled people suffering from them the right to additional living space
Diseases listed in the List qualify for additional living space. The basis is article 17 of the Federal Law of the Russian Federation "On social protection of disabled people in the Russian Federation": people with disabilities can be provided with living quarters under a social rental agreement with a total area exceeding the provision rate per person (but not more than twice) if they suffer from severe forms of chronic diseases provided for by the list established by the federal executive body authorized by the Government of the Russian Federation. The current list of diseases was approved by Decree of the Government of the Russian Federation No. 817 of December 21, 2004, the text of the decree is posted on the website of the "Rossiyskaya Gazeta".
The new List of Diseases contains not only the names of diseases, but also codes in accordance with the International Classification of Diseases, 10th revision (ICD-10). The International Classification of Diseases contains classes (sections) of codes for diseases and conditions. The ICD is being developed by the World Health Organization and under its leadership, the classification is being revised.
In the new List, the wording of the clause on mental illness has changed significantly. If, according to the current List, the right to additional living space arises if "Mental illness requiring compulsory dispensary observation", then, according to the new List, such a right is granted in the presence of certain "chronic and protracted mental disorders with severe persistent or often exacerbating painful manifestations."
The formulation of diseases that give the right to additional living space to “wheelchair users” is supplemented by arthropathic psoriasis, which requires the use of wheelchairs. The rest of the wording remained the same: such diseases, in particular, include organic diseases of the central nervous system with persistent dysfunction of the lower extremities, requiring the use of wheelchairs, and / or with dysfunction of the pelvic organs. The new List has been updated with disease-specific codes, including the G80 code for cerebral palsy.
Current List
2. Mental illnesses requiring compulsory dispensary observation.
8.Organic diseases of the central nervous system with persistent dysfunction of the lower extremities, requiring the use of wheelchairs, and (or) with dysfunction of the pelvic organs.
New List
2. Chronic and protracted mental disorders with severe persistent or often exacerbated painful manifestations: F01; F03 - F09; F20-F29; F30 - F33.
Decoding codes:
- F01 - Vascular dementia
- F03 - F09 - dementia, unspecified; organic amnestic syndrome, not caused by alcohol or other psychoactive substances; delirium not caused by alcohol or other psychoactive substances, other mental disorders due to brain damage and dysfunction or medical illness; personality and behavioral disorders due to brain disease, damage or dysfunction; organic or symptomatic mental disorder, unspecified.
- F20 Schizophrenia
8.Organic diseases of the central nervous system with persistent dysfunction of the lower extremities, requiring the use of wheelchairs, and (or) with dysfunction of the pelvic organs - G35; G60.0; G71.2; G80; T90.2 - T90.9; T91.1; T91.3; Z99.3; Z99.8.
Decoding codes:
- G35 Multiple sclerosis
- G60.0 Hereditary motor and sensory neuropathy
- G71.2 Congenital myopathies
- G80 Cerebral palsy
- T90.2 Sequelae of fracture of skull and facial bones
- T90.3 Sequelae of trauma to cranial nerves
- T90.4 Consequences of eye injury to the periobital region
- T90.5 Sequelae of intracranial injury
- T90.8 Consequences of other specified head injuries
- T90.9 Sequelae of unspecified head injury
- T91.1 Sequelae of fracture of spine
- T91.3 Sequelae of spinal cord injury
- Z99.3 Dependence on wheelchair
- Z99.8 Dependence on other auxiliary machinery and devices
The list of severe forms of chronic diseases in which it is impossible for citizens to live together in the same apartment
If the family includes a patient suffering from a severe form of a chronic disease from this List, then the family, subject to the conditions provided for by housing legislation, is recognized as in need of residential premises provided under social tenancy agreements; at the same time, housing must be provided out of turn; the area of \u200b\u200bthe premises may exceed the provision rate for one person, but no more than twice (Articles 51, 57, 58 of the Housing Code of the Russian Federation).
The current list was approved by the Decree of the Government of the Russian Federation of June 16, 2006 No. 378, it can be seen on the website of the Russian newspaper.
The new Order significantly reduced the list of chronic and protracted mental disorders with severe persistent or often exacerbated painful manifestations. According to the current List, such diseases include the entire ICD-10 class "Mental and behavioral disorders" - F00-F99. This class includes, for example, block F70-F79 "Mental retardation", block F80-F89 "Disorders of psychological development", block F90-F98 "Emotional disorders, conduct disorders, usually beginning in childhood and adolescence." The new List is limited to diseases with codes F20-F29; F30-F33.
The section "Epilepsy with frequent seizures" is supplemented with the code G41 - Status epilepticus.
If at the time of registration of the family as needing residential premises, the child's illness was included in the List of Chronic Diseases in which it is impossible for citizens to live together in the same apartment, but this disease is absent in the new List, then this circumstance does not deprive the family of the right to an extraordinary receipt of housing. premises.
Excerpts from the List with decoding codes
Current List
3. Chronic and protracted mental disorders with severe persistent or often exacerbated painful manifestations F00 - F99.
Decoding of codes (by blocks):
- F00-F09 Organic, including symptomatic, mental disorders
- F10-F19 Mental and behavioral disorders associated with psychoactive substance use
- F20-F29 Schizophrenia, schizotypal and delusional disorders
- F30-F39 Mood disorders (affective disorders)
- F40-F48 Stress-related neurotic and somatoform disorders
- F50-F59 Behavioral syndromes associated with physiological disorders and physical factors
- F60-F69 Disorders of personality and behavior in adulthood
- F70-F79 Mental retardation
- F80-F89 Developmental disorders
- F90-F98 Emotional disorders, conduct disorders, usually onset in childhood and adolescence
- F99 Unspecified mental disorders
4 epilepsy with frequent seizures - G40
Decoding codes:
- G40 Epilepsy
New list
3. Chronic and protracted mental disorders with severe persistent or often exacerbated painful manifestations F20 - F29; F30 - F33
Decoding codes:
- F20 Schizophrenia
- F21 Schizotypal disorder
- F22 Chronic delusional disorder
- F23 Acute and transient psychotic disorders
- F24 Induced delusional disorder
- F25 Schizoaffective disorders
- F28 Other non-organic psychotic disorders
- F29 Unspecified inorganic psychosis
- F30 Manic episode
- F31 Bipolar disorder
- F32 Depressive episode
- F33 Recurrent depressive disorder
4 Epilepsy with frequent seizures - G40 - G41
Decoding codes:
- G40 Epilepsy
- G41 Status epilepticus
MINISTRY OF SPORT OF THE RUSSIAN FEDERATION
ABOUT APPROVAL
UNITED ALL-RUSSIAN SPORTS CLASSIFICATION
(MILITARY-APPLIED AND SERVICE-APPLIED SPORTS)
In accordance with part 8 "O physical culture and sport in the Russian Federation "(Collected Legislation of the Russian Federation, 2007, No. 50, Art. 6242; 2008, No. 30, Art. 3616; 2014, No. 26, Art. 3376; 2015, No. 27, Art. 3995; 2016, 48, Art. 6736), subparagraph 4.2.4 of the Regulations on the Ministry of Sports of the Russian Federation, approved (Collected Legislation of the Russian Federation, 2012, N 26, Art. 3525; 2013, N 30, Art. 4112, N 45, Art. 5822 ; 2015, N 2, Art.491, N 18, Art.2711; 2016, N 28, Art.4741), I order:
1. To approve the Unified All-Russian sports classification (military-applied and service-applied sports) and include in it:
1.1. Requirements and conditions for their fulfillment in the sport "army hand-to-hand combat"(Appendix No. 1).
1.2. Norms, requirements and conditions for their implementation in the sport " military applied sports"(Appendix No. 2).
1.3. The norms and conditions for their implementation in the kind of sport "military sports all-around" (Appendix No. 3).
1.4. Standards, requirements and conditions for their implementation in the sport of "rowing on boats" (Appendix N 4).
1.5. Requirements and conditions for their fulfillment in the kind of sport "rowing and sailing combined" (Appendix N 5).
1.6. Requirements and conditions for their fulfillment in the kind of sport "complex single combat" (Appendix N 6).
1.7. The norms and conditions for their implementation in the sport "international military sports all-around" (Appendix N 7).
1.8. The norms and conditions for their fulfillment in the kind of sport "all-around canine handlers" (Appendix N 8).
1.9. Requirements and conditions for their fulfillment in the type of sport "all-around rescuers of the EMERCOM of Russia" (Appendix N 9).
1.10. Norms, requirements and conditions for their implementation in the sport of "fire and rescue sport" (Appendix N 10).
1.11. Norms and conditions for their implementation in the kind of sport "official nordic combination" (Appendix N 11).
1.12. Requirements and conditions for their fulfillment in the kind of sport "service single combat" (Appendix N 12).
1.13. The norms and conditions for their implementation in the kind of sport "service and applied sport" (Appendix N 13).
1.14. The norms and conditions for their implementation in the kind of sport "service-applied sport of the FSO of Russia" (Appendix N 14).
1.15. Requirements and conditions for their fulfillment in the kind of sport "service biathlon" (Appendix N 15).
1.16. Norms, requirements and conditions for their implementation in the sport of "rescue sport" (Appendix N 16).
1.17. Norms, requirements and conditions for their implementation in the sport "shooting from combat hand-held small arms" (Appendix N 17).
1.18. The norms and conditions for their implementation in the sport of "shooting from standard or service weapons" (Appendix N 18).
3. Control over the implementation of this order shall be entrusted to the Deputy Minister of Sports of the Russian Federation S.V. Kosilov.
The minister
T.A. GOLIKOVA
application
to the Order of the Ministry
dated December 15, 2009 N 991н
1. This Procedure regulates the provision of medical care to victims with concomitant, multiple and isolated injuries accompanied by shock in state and municipal health care institutions (hereinafter referred to as health care facilities).
2. Medical care for victims with concomitant, multiple and isolated injuries accompanied by shock is provided within the framework of:
ambulance (including specialized air ambulance);
primary health care;
specialized, including high-tech medical care.
3. Emergency medical care for victims with concomitant, multiple and isolated injuries, accompanied by shock, at the prehospital stage, is carried out by emergency medical teams of anesthesiology and resuscitation.
4. When providing medical care to victims with concomitant, multiple and isolated injuries accompanied by shock, ambulance resuscitation teams use a class C ambulance, equipped in accordance with the equipment standard approved by the Order of the Ministry of Health and Social Development of the Russian Federation dated December 1 2005 N 752 "On equipping sanitary vehicles" (according to the conclusion of the Ministry of Justice of Russia, this document does not need state registration. Letter of the Ministry of Justice of Russia dated January 18, 2006 N 01/264-ЕЗ), as amended by the Order of the Ministry of Health and Social development of the Russian Federation dated March 31, 2008 N 154n (according to the conclusion of the Ministry of Justice of Russia, this document does not need state registration. Letter of the Ministry of Justice of Russia dated April 15, 2008 N 01/3709-AB).
In the constituent entities of the Russian Federation with a low population density, victims with combined, multiple and isolated injuries accompanied by shock are delivered from the scene of the incident to the organizations providing medical care specified in paragraph 9 of this Procedure, if they are remote:
up to 150 kilometers using a class "B" vehicle,
over 150 kilometers using a "C" class vehicle.
5. The anesthesiology-resuscitation ambulance team consists of an anesthesiologist-resuscitator and 2 paramedics (or 2 nurses-anesthetists).
6. The reason for the departure of the ambulance team of anesthesiology-resuscitation (primary call) are:
road traffic accidents;
falling from a height;
gunshot and explosive injury;
severe work injury;
stab wounds;
electrical injury;
severe thermal injury;
massive accidents;
mechanical asphyxia.
7. The provision of emergency medical care at the prehospital stage to victims with concomitant, multiple and isolated injuries accompanied by shock, in emergency situations, the simultaneous arrival of several calls, the use of an ambulance team of anesthesiology-resuscitation to service another call can be carried out by the forces of line ambulance teams ...
8. Provision of medical care to victims with concomitant, multiple and isolated injuries accompanied by shock at the stages of emergency medical care is carried out in accordance with the established standards of medical care.
9. Ambulance teams deliver victims with concomitant, multiple and isolated injuries, accompanied by shock, to organizations providing medical care, in which there are 24/7 functioning:
admission department (emergency department of the hospital);
operating room for anti-shock measures;
intensive care unit;
department of radiation diagnostics, including ultrasound and X-ray diagnostics, including computed tomography;
department (office) of blood transfusion;
clinical diagnostic laboratory;
traumatology department.
10. If it is impossible to provide effective medical care in the organizations specified in paragraph 9 of this Procedure, as well as in the absence medical contraindications for transportation, victims with concomitant, multiple and isolated injuries accompanied by shock are transferred to organizations providing medical care, in which, in addition to the units listed in paragraph 9 of this Procedure, operate around the clock:
department of associated trauma;
department (office) of endoscopy;
department (beds) of vascular surgery;
neurosurgical department.
11. In the event that the organization providing medical care specified in clause 10 of this Procedure is located closer to the scene of the accident than the organization providing medical care specified in clause 9 of this Procedure, ambulance teams deliver victims with combined, multiple and isolated injuries accompanied by shock, taking into account the severity of the condition, to the organization providing medical care specified in paragraph 10 of this Procedure.
12. Transfer to organizations providing medical care specified in clause 10 of this Procedure, victims with concomitant, multiple and isolated injuries accompanied by shock, is carried out using a class C ambulance vehicle.
13. If by the ambulance team the victims with combined, multiple and isolated injuries accompanied by shock, in accordance with paragraph 11 of this Procedure, are delivered to the organizations providing medical care specified in paragraph 10 of this Procedure, then these organizations cannot refuse to admit affected.
14. Equipping the structural units of organizations providing medical care to victims with concomitant, multiple and isolated injuries accompanied by shock, is carried out depending on the profile of the departments: radiation diagnostics, abdominal surgery, thoracic surgery, cardiovascular surgery, neurosurgery and other specialized surgical departments, as well as in accordance with the standard for additional equipment of the operating room for anti-shock measures (Appendix No. 1 to the Procedure for providing medical care to victims with concomitant, multiple and isolated injuries accompanied by shock, approved by this Order).
15. The staffing standards of the operating department for anti-shock measures are established depending on the volume of medical work carried out, taking into account the recommended staffing standards (Appendix No. 2 to the Procedure for providing medical care to victims with concomitant, multiple and isolated injuries accompanied by shock, approved by this Order).
16. The management of the operational department for anti-shock measures is carried out by the head, who is appointed and dismissed by the head of the organization in which the operational department is created.
The post of the head of the operating department for anti-shock measures is a surgeon who has undergone an improvement in the provision of medical care to victims with associated injuries.
17. The staffing standards of the concomitant injury department are established depending on the volume of the medical work being carried out, taking into account the recommended staffing standards (Appendix No. 2 to the Procedure for providing medical care to victims with concomitant, multiple and isolated injuries accompanied by shock, approved by this Order).
18. The management of the department of concomitant injury is carried out by the head, who is appointed and dismissed by the head of the organization providing medical care, in which the operating department has been created.
A traumatologist-orthopedist who has undergone advanced training in the provision of medical care to victims with concomitant injuries is appointed to the position of the head of the department of concomitant injury.
19. In the event that medical manipulations related to the provision of medical care to victims with combined, multiple and isolated injuries accompanied by shock may result in pain in the patient, such manipulations should be performed with anesthesia.
Appendix N 1
to the Procedure for the provision of medical
assistance to victims with associated,
multiple and isolated
trauma accompanied by shock,
approved by the Order of the Ministry
health and social
development of the Russian Federation
dated December 15, 2009 N 991н
In accordance with article 17 of the Federal Law of November 24, 1995 No. 181-FZ "On social protection of disabled people in the Russian Federation" (Collected Legislation of the Russian Federation, 1995, No. 48, Art. 4563; 2005, No. 1, Art. 25; 2008, No. 30, Art. 3616; 2012, No. 30, Art. 4175) and subparagraph 5.2.108 of the Regulation on the Ministry of Health of the Russian Federation, approved by Decree of the Government of the Russian Federation of June 19, 2012 No. 608 (Collected Legislation of the Russian Federation, 2012 , No. 26, Art. 3526), \u200b\u200bI order:
1. To approve the list of diseases that give disabled people suffering from them the right to additional living space, according to the annex.
2. This order shall enter into force from the date of entry into force of the resolution of the Government of the Russian Federation on recognizing as invalid the resolution of the Government of the Russian Federation of December 21, 2004 No. 817 "On the approval of the list of diseases that give disabled people suffering from them the right to additional living space" (Collected Legislation of the Russian Federation, 2004, No. 52, Art. 5488).
| Minister | V. Skvortsova |
application
List of diseases that give disabled people suffering from them the right to additional living space
| P / p No. | Name of diseases | ICD-10 disease code * |
|---|---|---|
| 1. | Tuberculosis of any organs and systems with bacterial excretion, confirmed by culture | A15; A17-A19 |
| 2~ | Chronic and protracted mental disorders with severe persistent or often exacerbated painful manifestations | F01; F03-F09; F20-F29: F30-F33 |
| 3 | Tracheostomy, fecal, urinary fistulas, lifelong nephrostomy, bladder stoma (if it is impossible to perform reconstructive surgery on the urinary tract and close the stoma), uncorrected urinary incontinence, unnatural anus (if it is impossible to restore the continuity of the gastrointestinal tract), malformations of the face and skull with impaired breathing, chewing, swallowing | Z93.0; Z93.2-Z93.6; K63.2; N28.8; N32.1-N32.2; N36.0; N39.4; N82; Q35-Q37; Q67.0-Q67.4 |
| 4 | Multiple skin lesions with profuse discharge | L10; L12.2; L12.3; L13.0: L88 |
| 5 | Arthropathic psoriasis. wheelchair-bound | L40.5 |
| 6 | Leprosy | A30 |
| 7 | HIV infection in children | В20-ВР4: 721 |
| 8. | Absence of lower limbs or diseases of the musculoskeletal system, including hereditary genesis, with persistent dysfunction of the lower limbs, requiring the use of wheelchairs | M05-M06; M16-M17; M30-M35; M45; Q72.0; Z89.7-Z89.9: Z99.3 |
| 9. | Organic diseases of the central nervous system with persistent dysfunction of the lower extremities, requiring the use of wheelchairs, and (or) with dysfunction of the pelvic organs | G35; G60.0; G71.2; G80; T90.2-T90.9; T91.1; T91.3; Z99.3; Z99.8 |
| 10. | Conditions after transplantation of internal organs and bone marrow | Z94 |
| 11. | Severe organic kidney damage complicated by grade II - III renal failure | N03-N05; N07; N11-N15; N20.9; N25-N28; N18-N19 |
_____________________________
* International Statistical Classification of Diseases and Related Health Problems (tenth revision).
Document overview
People with disabilities can receive housing under a social rental agreement with a total area exceeding the provision rate for 1 person (but not more than 2 times). Condition - they suffer from severe forms of chronic diseases. A new list of the latter has been approved.
In particular, this is tuberculosis of any organs and systems with bacterial excretion, confirmed by culture. Chronic and protracted mental disorders with severe persistent or often exacerbated painful manifestations. Multiple skin lesions with copious discharge. Lack of lower extremities or diseases of the musculoskeletal system, including hereditary genesis, with persistent dysfunctions of the lower extremities, requiring the use of wheelchairs. Severe organic kidney damage, complicated by grade II-III renal failure.
The order is valid from the date when the previous list expires.