Parting

Order mz 683 n dated 30.09. On approval of the procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle in medical organizations. Types of permits issued by Rostekhnadzor

The structure of the order (application) Appendix "The procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations" (hereinafter referred to as the Procedure). Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

Annex "Procedure for the organization and implementation of the prevention of non-communicable diseases ..." 1. Levels of prevention of non-communicable diseases - population, group and individual. 2. Who carries out prevention (state authorities, local authorities, employers, medical organizations, educational organizations and sports organizations, public associations). Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

4. Prevention of non-communicable diseases is ensured by: 1) developing and implementing programs to promote a healthy lifestyle and prevent non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as prevent the use of narcotic drugs and psychotropic substances without a doctor's prescription; 2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or a high risk of their development. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following activities: substances without a doctor's prescription; 2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, determining the degree of their severity and health hazard; 3) provision of medical services for the correction (elimination or reduction of the level) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor's appointment to a doctor - psychiatrist - narcologist of a specialized medical organization or other medical organization providing drug treatment; 4) medical examination and preventive medical examinations; 5) dispensary observation of patients with non-communicable diseases, as well as citizens with a high risk of developing cardiovascular diseases. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

7. Prevention of non-communicable diseases and the formation of a healthy lifestyle in medical organizations are carried out as part of the provision of primary health care, including primary pre-hospital health care, primary medical health care, primary specialized health care, as well as specialized medical care and sanatorium treatment. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

8. Medical assistance for the prevention of non-communicable diseases is provided in the following conditions: 1) on an outpatient basis (in conditions that do not provide for round-the-clock medical supervision and treatment), including at home when a medical worker is called; 2) in a day hospital (under conditions that provide for medical supervision and treatment in the daytime, but do not require round-the-clock medical supervision and treatment); 3) stationary (in conditions that provide round-the-clock medical supervision and treatment). Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

10. The paramedic (nurse) of the feldsher - obstetric station and the feldsher's health center in the implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle: 1) identifies and corrects the main risk factors for the development of non-communicable diseases, directs, if there are medical indications, to a specialist doctor providing primary medical health care, to the department (office) of medical prevention, health center, medical care cabinet for cessation of tobacco consumption; 2) participates in the organization and conduct of medical examinations and preventive medical examinations; 3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases; 4) develops and implements measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent the harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor's prescription; 5) provides information to citizens about the need for urgent medical attention in case of life-threatening conditions, diseases and their complications, as well as training of persons at high risk of developing life-threatening conditions and their families on the rules of first aid for these conditions. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

11. As part of the provision of primary medical and sanitary care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by general practitioners, district physicians, general practitioners (family doctors), pediatricians, district pediatricians in the direction of medical workers or when a citizen applies independently. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix “The procedure for organizing and implementing the prevention of non-communicable diseases ....”

16. The organization of the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by medical organizations and their structural divisions in accordance with Annexes No. 1-9 to this Procedure. appendices N 1-9 Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..." Appendix "The procedure for organizing and implementing the prevention of non-communicable diseases ...."

The structure of the order (application) Appendix 1 to the Procedure "Rules for organizing the activities of the department (office) of medical prevention for adults. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

Appendix 1 to the Procedure "Rules for organizing the activities of the department (cabinet) of medical prevention for adults" 1. These Rules determine the procedure for organizing the activities of the department (cabinet) of medical prevention for adults. 2. The department (office) of medical prevention for adults is a structural subdivision of a medical organization or other organization engaged in medical activities, providing primary health care (hereinafter referred to as a medical organization). 3. In a medical organization with an attached adult population of 20 thousand people or more, it is recommended to create a medical prevention department for adults, and with an attached adult population of less than 20 thousand people, it is recommended to create a medical prevention cabinet for adults. Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

A medical worker with a higher education in the specialties (training areas) "general care", "pediatrics", "medical and preventive care", "stomatology", "nursing" who has completed additional training professional advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle. A medical worker with a secondary vocational (medical) education in the specialties "nursing", "obstetrics", "medical business" who has completed additional professional training advanced training programs on the prevention of non-communicable diseases and the formation of a healthy lifestyle. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

7. The structure and staffing of the department (office) of medical prevention for adults are established by the head of the medical organization in which it was created, taking into account the recommended staffing standards established by Appendix No. 2 to the Procedure for organizing and implementing the prevention of non-communicable diseases and taking measures to promote a healthy image life in medical organizations, approved by this order. Appendix N 2 Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

8. To organize the work of the department of medical prevention for adults, it is recommended to provide the following structural units in its structure: 1) an office for organizing medical examinations and preventive medical examinations; 2) an office for diagnosing and correcting the main risk factors for the development of non-communicable diseases; 3) an office of population methods of prevention. 9. If it is not possible to allocate separate premises for structural subdivisions of the department of medical prevention, as well as when organizing a medical prevention room for adults, it is recommended to provide for zoning of premises for organizing medical examinations and preventive medical examinations, diagnosing and correcting risk factors for the development of non-communicable diseases. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

10. Equipping the department (office) of medical prevention for adults is carried out in accordance with the equipment standard established by Appendix No. 3 to the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations, approved by this order. Appendix N 3 Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

11. The main functions of the department (office) of medical prevention for adults are: 1) carrying out measures to prevent non-communicable diseases, including those that are the main cause of disability and mortality of the population; 2) organization and participation in medical examinations and preventive medical examinations of the adult population; 3) participation in informing citizens who are on medical care in a medical organization about conducting medical examinations and preventive medical examinations, about their goals and objectives, conducting explanatory work and motivating citizens to undergo medical examinations and preventive medical examinations; 4) maintaining medical records and performing individual medical studies during medical examinations and preventive medical examinations; 5) determination (diagnosis) of risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, identifying violations of the basic conditions for maintaining a healthy lifestyle; 6) taking measures to correct risk factors for the development of non-communicable diseases, including in the form of individual in-depth preventive counseling or group preventive counseling (patient school), including the provision of medical care aimed at stopping tobacco consumption, citizens, including citizens with II and III groups of health status * (in the direction of a medical worker, as part of the second stage of medical examination); * Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

11. The main functions of the department (office) of medical prevention for adults are (continued): alcohol consumption or the risk of using narcotic drugs and psychotropic substances to a doctor - psychiatrist - narcologist of a specialized medical organization providing drug treatment; 8) dispensary observation, including the prescription of drugs for the correction of dyslipidemia, for citizens who have a high risk of developing cardiovascular diseases; 9) increasing the level of knowledge of medical workers of a medical organization on the prevention of non-communicable diseases and the formation of a healthy lifestyle; 10) teaching citizens the rules of first aid in case of life-threatening diseases and their complications (acute coronary syndrome, acute cerebrovascular accident, acute heart failure, sudden cardiac death), including individual and / or group training of persons with a high risk of developing these life-threatening conditions, and members of their families; 11) reporting in the prescribed manner **, collection and provision of primary data on medical activities for health information systems ***, including control, recording and analysis of the results of medical examinations and preventive medical examinations; ** *** 12) organization and participation in activities to promote a healthy lifestyle among the population, including as part of mass actions and information campaigns, as well as informing the population, including the media, about methods for correcting risk factors for non-communicable diseases and prevention of their complications; 13) participation in the development and implementation of measures for the prevention of non-communicable diseases, the formation of a healthy lifestyle, including the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription. Order of the Ministry of Health of the Russian Federation of September 30 n “On approval of the Procedure ...” Appendix 1 to the Procedure “Rules for organizing the activities of the department (office) of medical prevention for adults”

The structure of the order (application) Appendix 2 to the Procedure "Recommended staffing standards of the department (office) of medical prevention for adults". Order of the Ministry of Health of the Russian Federation dated September 30 n “On approval of the Procedure ...” ¹ These recommended staffing standards do not apply to medical organizations of the private healthcare system.

The structure of the order (application) Appendix 3 to the Procedure "Standard for equipping the department (office) of medical prevention for adults." Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

The structure of the order (application) Appendix 4 to the Order "Rules for organizing the activities of the health center". Annex 5 to the Procedure "Recommended staffing standards for a health center". Appendix 6 to the Order "Standard for equipping a health center". Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

The structure of the order (application) Appendix 7 to the Procedure "Rules for organizing the activities of the center of medical prevention". Annex 8 to the Order "Recommended staffing standards for the center of medical prevention". Annex 9 to the Order "Standard for equipping the center of medical prevention". Order of the Ministry of Health of the Russian Federation of September 30 n "On approval of the Procedure ..."

1. Approve the Procedure for organizing and implementing the prevention of non-communicable diseases and carrying out activities to promote a healthy lifestyle in medical organizations in accordance with.

1) development and implementation of programs for the formation of a healthy lifestyle and the prevention of non-communicable diseases, including programs to reduce the prevalence of the main risk factors for their development, as well as the prevention of the use of narcotic drugs and psychotropic substances without a doctor's prescription;

2) implementation of measures for the prevention and early detection of non-communicable diseases, risk factors for their development, including early identification of the risk of harmful alcohol consumption, and the risk of consumption of narcotic drugs and psychotropic substances without a doctor's prescription, measures to correct identified risk factors for the development of non-communicable diseases, as well as dispensary monitoring citizens with chronic non-communicable diseases or a high risk of their development.

5. Prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors, include a set of the following activities:

1) carrying out activities for hygiene education, information and communication activities for maintaining a healthy lifestyle, preventing non-communicable diseases and the consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

2) identification of violations of the basic conditions for maintaining a healthy lifestyle, risk factors for the development of non-communicable diseases, including the risk of harmful alcohol consumption, and the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, determining the degree of their severity and health hazard;

3) provision of medical services for the correction (elimination or reduction of the level) of risk factors for the development of non-communicable diseases, prevention of complications of non-communicable diseases, including referral of patients for medical reasons to specialist doctors, including specialized medical organizations, referral of citizens with an identified risk of harmful alcohol consumption , the risk of consuming narcotic drugs and psychotropic substances without a doctor's prescription to a psychiatrist-narcologist of a specialized medical organization or other medical organization providing drug treatment;

6. Medical assistance for the identification and correction of risk factors for the development of non-communicable diseases, early detection of non-communicable diseases and dispensary observation for non-communicable diseases is provided in accordance with the procedures for providing medical care and based on standards of medical care.

1) on an outpatient basis (in conditions that do not provide for round-the-clock medical supervision and treatment), including at home when a medical worker is called;

2) in a day hospital (under conditions that provide for medical supervision and treatment in the daytime, but do not require round-the-clock medical supervision and treatment);

9. As part of the provision of primary pre-medical health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by paramedics and other medical workers with a secondary medical education in the direction of medical workers or with the individual's request.

10. The paramedic (nurse) of the feldsher-midwife station and the feldsher health center in the implementation of the prevention of non-communicable diseases and the implementation of measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, sends, if there are medical indications, to a specialist doctor providing primary medical health care, to the department (office) of medical prevention, a health center, a medical care cabinet for cessation of tobacco consumption;

3) participates in the organization and conduct of dispensary observation of patients with non-communicable diseases and citizens with a high risk of developing cardiovascular diseases;

4) develops and implements measures to inform and motivate citizens to lead a healthy lifestyle, including measures to prevent the harmful consumption of alcohol and the use of narcotic drugs and psychotropic substances without a doctor's prescription;

5) provides information to citizens about the need for urgent medical attention in case of life-threatening conditions, diseases and their complications, as well as training of persons at high risk of developing life-threatening conditions and their families on the rules of first aid for these conditions.

11. As part of the provision of primary medical care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by general practitioners, district general practitioners, general practitioners (family doctors), pediatricians, district pediatricians in the direction of medical workers or when a citizen applies independently.

12. General practitioner (district general practitioner, general practitioner (family doctor), pediatrician, district pediatrician) when implementing the prevention of non-communicable diseases and taking measures to promote a healthy lifestyle:

1) carries out the identification and correction of the main risk factors for the development of non-communicable diseases, including in the form of a brief preventive counseling, timely diagnosis of non-communicable diseases, sends, if necessary, to the department (office) of medical prevention, a health center, a medical aid office for quitting tobacco consumption, feldsher health center and feldsher-obstetric station, as well as to specialist doctors according to the profile of the identified disease (condition) and risk factor;

3) organizes and conducts dispensary observation of patients with non-communicable diseases, sends persons with a high risk of developing cardiovascular diseases under dispensary supervision of medical workers of the department (office) of medical prevention, a health center, specialized medical organizations, feldsher health posts and feldsher-obstetric stations, keeps records of the passage of dispensary examinations by citizens of other medical specialists;

13. As part of the provision of primary specialized health care, the prevention of non-communicable diseases and the formation of a healthy lifestyle are carried out by specialist doctors according to the profile of medical care provided by medical workers or when a citizen independently applies, as well as in the process of dispensary observation of patients with non-communicable diseases.

14. As part of the provision of specialized medical care, specialist doctors carry out the prevention of non-communicable diseases according to the profile of a medical organization (its structural unit), as well as inform about maintaining a healthy lifestyle and correcting the main risk factors for the development of non-communicable diseases. If necessary, for this purpose, a citizen is sent to a doctor for medical prevention of a medical organization providing specialized medical care.

Order of the Federal Service for Ecological, Technological and Nuclear Supervision
dated July 13, 2006 N 683

On the organization of control over the procedures for the preparation and issuance of licenses in an automated mode

In order to increase the effectiveness of control over the activities for the preparation of licenses in the central office and territorial bodies of the Federal Service for Ecological, Technological and Nuclear Supervision (hereinafter referred to as Rostekhnadzor), I order:

1. Approve the forms for submitting information on the progress of registration and registration of applications of license applicants, review of documents submitted for obtaining licenses, registration and registration of licenses, as well as refusals to grant licenses and determine the departments of the central office of Rostechnadzor responsible for the accuracy, completeness and timeliness of entering information in the approved forms N 1L and N 2L ().

2. Approve the "Schedule of works for the creation and commissioning of the functional task of the state automated information and control system for regulating industrial safety (AIS PB)" Monitoring of work with applications from license applicants "designed for automated collection and processing of information in accordance with the approved forms N 1L and N 2L ().

3. Heads of departments of the central office and heads of territorial bodies for technological and environmental supervision of Rostechnadzor:

3.1. ensure the continuous operation of the functional task "Monitoring of work with applications of license applicants";

3.2. before January 1, 2007, send comments and proposals on the further development and improvement of this functional task to the Department for Organizational and Legal Support of Regulatory Activities.

4. Until July 31, 2006, the Interregional Territorial District for Informatization and Information Protection (MTOIZI, A.N. Chelyshev) shall create an archive of licenses for 2006 in the field of the use of atomic energy that fall within the competence of Rostekhnadzor. Complete all work on the formation of a complete archive of licenses in the field of the use of atomic energy by December 31, 2006.

5. To the Department of Organizational and Legal Support for Regulatory Activities (V.V. Kochemasov) to summarize the comments and proposals of the divisions on the functional task "Monitoring of work with applications of license applicants" and, by February 1, 2007, submit to the leadership of Rostechnadzor consolidated proposals for the further development and improvement of this functional tasks.

6. MTOIZI, together with the Office of Legal Support, by August 1, 2006, submit proposals for the creation of tools for automated control of the procedures for preparing permits issued by Rostekhnadzor () and the conclusions of the state environmental review.

7. I entrust the control over the implementation of this order to the Deputy Head of Rostekhnadzor K.L. Seagull.

HeadK.B. Pulikovsky

Order of the Federal Service for Ecological, Technological and Nuclear Supervision
dated July 13, 2006 N 683

On the organization of control over the procedures for the preparation and issuance of licenses in an automated mode

3. Heads of departments of the central office and heads of territorial bodies for technological and environmental supervision of Rostechnadzor:

3.1. ensure the continuous operation of the functional task "Monitoring of work with applications of license applicants";

7. I entrust the control over the implementation of this order to the Deputy Head of Rostekhnadzor K.L. Seagull.

Head K.B. Pulikovsky

Appendix No. 2

Work schedule for the creation and commissioning of the functional task of the AIS PB "Monitoring of work with applications of license applicants"

Event	Performer, contributors	Deadline	Note
Develop a functional task of the AIS PB "Monitoring of work with applications of license applicants"
Develop "Instructions for the user of the functional task "Monitoring work with applications of license applicants"	LLC KB "RealTech" (as agreed)
Appoint in the entrusted subdivisions persons personally responsible for entering information into the approved forms N 1L and N 2L for the submission of information and transfer information about the appointed persons to the MTOIZI	2U, 6U, 7U, 8U, 9U, 10U, 11U, 12U, 13U, 14U, MTOIZI
Conduct two training seminars for persons responsible in the departments of the central office of Rostechnadzor for entering information within the framework of the functional task "Monitoring work with applications of license applicants"	MTOIZI, 2U, 6U-14U LLC KB "RealTech" (as agreed)
Put into operation the functional task "Monitoring work with applications of license applicants" in the central office of Rostekhnadzor.	MTOIZI, OOO KB "RealTech" (as agreed)
Grant responsible persons the rights of access to information resources of the functional task "Monitoring work with applications of license applicants"			At the request of the Departments (6U-14U)
Enter information in forms N 1L and N 2L for the period from 01.06. 2006 to date			Look at the order
Ensure regular input of up-to-date information in forms N 1L and N 2L		Constantly, from 01.08.06	Look at the order
Appoint in the territorial bodies of persons personally responsible for entering information into the approved forms N 1L and N 2L for submitting information
Ensure the deployment and operation in the assigned units of the functional task "Monitoring of work with applications of license applicants"	Territorial bodies for technological and environmental supervision		Under direct contracts LLC CB "RealTech"
Organize the completion of forms N 1L and N 2L for all currently valid licenses issued by the central office of Rostekhnadzor, as well as the central offices of the former Gosgortekhnadzor of Russia and Gosatomnadzor of Russia

Symbols - see this order.

Appendix No. 3

Types of permits issued by Rostekhnadzor

	Type of permit issued	Responsible Governance
	For the right to conduct work in the field of the use of atomic energy
	For the use of technical devices at hazardous production facilities	9U, 10U, NU, 12U, 13U,
	For the operation of hydraulic structures at industrial and energy facilities
	For the use of explosive materials for industrial use and blasting
	For the development of mineral deposits
	For transboundary movement of hazardous waste
	For transboundary movement of ozone-depleting substances and products containing them
	For the import of poisonous substances into the Russian Federation