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Protocol of medical manipulation (SAMD 163)

How to create a protocol

  1. Make an appointment for the patient
  2. To form the document, specify the data in the patient's profile:
  • Last name, first name;
  • Paul;
  • Date of birth;
  • SNILS;
  • The address of the patient's residence/registration.

Create a protocol«Протокол медицинской манипуляции».

Создать протокол: протокол медицинской манипуляции

You need to fill in all required fields in the document.:

  • The start date of the documented event.

Дата начала документированного события

«Немедикаментозное лечение (Медицинская процедура или манипуляция)»You need to fill in all the fields in the section.:

  • The code of a medical procedure or manipulation;
  • A text description of a medical procedure or manipulation;
  • The date of the beginning of the medical procedure or manipulation;
  • The end date of the medical procedure or manipulation;
  • The frequency of the prescribed medical procedure or manipulation.

Секция немедикаментозное лечение

In the section «Оказанные услуги»you need to fill in the required field:

  • A service rendered.

Секция оказанные услуги

In the section «Витальные изменения»you need to fill in the required fields:

  • Date of measurement;
  • The type of data in the filled vital parameter;
  • Vital parameter;
  • A text field.

Секция витальные изменения

«Референтный интервал»You need to fill in all the fields in the section.:

  • Description of the value of the reference interval;
  • The lower limit of the reference interval (if physical value);
  • The upper limit of the reference interval (if physical value);
  • The type code of the reference interval.

Секция референтный интервал

In the section «Описания иммунизации»you need to fill in the required fields:

  • Stage of the immunization scheme;
  • Date of vaccination;
  • The dose;
  • Unit of dose measurement;
  • Medication;
  • The series and number of the drug.

Секция описания иммунизации

In the section «Связанные документы»you need to fill in the required fields:

  • Document type;
  • Date of issue of the document.

Секция связанные документы

When the conclusion is ready, the doctor and the head of the clinic sign the document to be sent to the RAMD. The document is available in PDF format for printing.