Rules and clinical protocols 
Frequently Asked Questions Frequently Asked Questions
1. Может ли врач выдать 5-6 направлений по услуге «определение специфических IgE к прочим аллергенам ИФА методом», и не будет ли это считаться дефектом?
No, the formation of 5-6 referrals for one service is not considered a defect if they are justified by medical indications. The doctor can issue directions for tests to determine the level of specific IgE to different allergens, specifying the necessary allergens.
It is important that the specialist substantiates the need for each analysis. If the diagnosis requires determining the IgE level for each allergen, the doctor may issue a separate referral for each. Thus, it is acceptable if it meets the diagnostic needs.
2. How to work off the assets of the deceased? If a person died in a hospital, will this be considered an asset postscript, since it occurs after the date of death?
In case of death of a person in a hospital, the medical institution in which he was treated is responsible for informing the polyclinic in which he was registered. Upon receiving notification of the patient's death, the polyclinic must close his medical record and update information about his status.
Since home visits are not possible due to the death of a patient in the hospital, the polyclinic can close the asset by updating information about the patient's status and specifying the date and cause of death. This can be done on the basis of medical documentation provided by the hospital, including a death certificate and a medical record of the inpatient.
3. The child is 6 years old, but he is not included in the candidate's age profile. Do I need to open a disease record and refer to specialists for non-existent diagnoses?
Occupational examination is provided for children aged 5 to 6 years and from 6 to 7 years. Thus, carrying out a preventive examination for children aged 6 years meets the established requirements and is not a defect.
Source: According to the Appendix to the rules, the volume and frequency of preventive medical examinations of target groups of the population, including children of preschool, school age, as well as students of organizations of technical and vocational, post-secondary and higher education.
Source: According to the Appendix to the rules, the volume and frequency of preventive medical examinations of target groups of the population, including children of preschool, school age, as well as students of organizations of technical and vocational, post-secondary and higher education.
4. With what diagnosis should Mantoux be sent for testing?
The Mantoux test is a screening test for tuberculosis, prescribed to children and adults during preventive examinations or suspected contact with an infection.
For correct coding, it is recommended to use the following diagnoses: "Routine examination of the child's health status" (Z00.1), "Contact with a tuberculosis patient" (Z20.2), or "Observation in case of suspicion of other infectious diseases" (Z03.8).
For correct coding, it is recommended to use the following diagnoses: "Routine examination of the child's health status" (Z00.1), "Contact with a tuberculosis patient" (Z20.2), or "Observation in case of suspicion of other infectious diseases" (Z03.8).
5. Is the Z13.9 code suitable for school screening? The order contains the code Z13. Will Z13.9 be considered an error?
When providing medical services in school medicine, you can use the following codes of the International Classification of Diseases of the 10th revision (ICD-10): Z00.0, Z00.1, Z00.2, Z00.3, Z23, Z24, Z25, Z26 and Z27.
These codes belong to the section "Factors affecting health status and contacts with health services" and are used to designate various types of preventive examinations, examinations and consultations for school-age children.
Source: In accordance with the Rules for the provision of specialized medical care in outpatient settings, established in the Order of the Minister of Health of the Republic of Kazakhstan dated April 27, 2022 No. KR DSM-37
