Unofficial translation
In accordance with paragraph 5 of Article 124 of the Code of the Republic of Kazakhstan “On people’s health and the healthcare system,” I ORDER:
Footnote. Preamble - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).1. To approve the rules for the provision of specialized medical care, including high-tech medical care, in accordance with Appendix 1 to this order.
2. To invalidate some orders of the Minister of Healthcare of the Republic of Kazakhstan in accordance with Appendix 2 to this order.
3. In the manner prescribed by the legislation of the Republic of Kazakhstan, the Medical Aid Department of the Ministry of Healthcare of the Republic of Kazakhstan shall ensure:
1) the state registration of this order with the Ministry of Justice of the Republic of Kazakhstan;
2) the posting of this order on the website of the Ministry of Healthcare of the Republic of Kazakhstan after its official publication;
3) the submission of information on the implementation of the measures provided for in subparagraphs 1) and 2) of this paragraph to the Legal Department of the Ministry of Healthcare of the Republic of Kazakhstan within ten working days of the state registration of this order.
4. Control over the execution of this order shall be entrusted to the supervising deputy minister of healthcare of the Republic of Kazakhstan.
5. This order comes into effect ten calendar days of its first official publication.
|
Minister of Healthcare of the Republic of Kazakhstan |
A.Tsoi |
| Appendix 1 to Order № KR DSM-238/2020 of the Minister of Healthcare of the Republic of Kazakhstan as of December 8, 2020 |
Rules
for the provision of specialized medical care, including high-tech medical care
Chapter 1. General provisions
1. These rules for provision of specialized, including high-tech medical care (hereinafter referred to as the Rules) were developed in accordance with paragraph 5 of Article 124 of the Code of the Republic of Kazakhstan “On people’s health and the healthcare system” (hereinafter referred to as the Code) and determine the procedure for the provision of specialized, including high-tech medical care in the Republic of Kazakhstan.
Footnote. Paragraph 1 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).2. The following terms are used in these Rules:
1) high-tech medical care (hereinafter referred to as HTMC) - medical care that is part of specialized medical care provided by specialized professionals for diseases requiring the use of innovative and (or) unique methods of diagnosis and treatment with scientifically proven efficacy and safety, and technologies developed on the basis of achievements of medical science and related branches of science and technology;
2) guaranteed volume of free medical care (hereinafter referred to as the GVFMC) - the volume of medical care provided at the expense of budgetary funds;
3) medical products - medical devices and medical equipment;
4) healthcare entity - a legal entity carrying out activities in the field of healthcare;
5) specialized medical care - medical care provided by specialized professionals for diseases requiring special methods of diagnosis, treatment, medical rehabilitation, including means of telemedicine services;
6) the authorized body in the field of healthcare (hereinafter referred to as the authorized body) - the central executive body that carries out management and inter-sectoral coordination in the field of health protection of citizens of the Republic of Kazakhstan, medical and pharmaceutical science, medical and pharmaceutical education, sanitary and epidemiological welfare of the population, turnover of medicines and medical devices, the quality of medical services (assistance);
7) the social health insurance fund (hereinafter referred to as the SHIF) - a non-profit organization that accumulates deductions and contributions, and also purchases and pays for the services of healthcare entities that provide medical care in the volumes and on the conditions provided for by the contract for the purchase of medical services, and other functions defined by the laws of the Republic of Kazakhstan.
3. In outpatient and inpatient settings, depending on the medical specialties, the types of specialized medical care are divided into therapeutic, surgical, pediatric and obstetric-gynecological profiles.
The therapeutic profile includes: therapy, allergology, gastroenterology, hematology, nephrology, cardiology, cardio-rheumatology, pulmonology, endocrinology, psychiatry, psychotherapy, medical psychology, neurology, therapeutic dentistry, sexopathology, rehabilitation, occupational pathology, occupational therapy, narcology, phthisiology, gerontology-geriatrics, hirudotherapy, toxicology, physiotherapy exercises, dietetics, roentgenology, Su-Jok therapy, manual therapy, reflexology, homeopathy, dermato-venereology, dermato-cosmetology, infectious diseases, immunology, leprology.
Surgical profile includes: surgery, cardiac surgery, neurosurgery, endoscopy, oncology, traumatology and orthopedics, combustiology, urology, andrology, otorhinolaryngology, ophthalmology, proctology, mammology, dental surgery, orthodontic dentistry, orthopedic dentistry, maxillofacial surgery, transplantology, extracorporeal detoxification, hyperbaric oxygenation, toxicology, anesthesiology-resuscitation.
The pediatric profile includes: pediatrics, phthisiopediatrics, pediatric anesthesiology and resuscitation, pediatric surgery, pediatric neurosurgery, pediatric endoscopy, pediatric traumatology and orthopedics, pediatric combustiology, pediatric transplantology, pediatric extracorporeal detoxification, pediatric allergology, medical genetics, pediatric cardio-rheumatology, infectious diseases in children, pediatric immunology, pediatric oncology, pediatric hematology oncology, pediatric neurology, pediatric nephrology, pediatric endocrinology, child psychiatry, child psychotherapy, pediatric toxicology, pediatric hyperbaric oxygenation, pediatric pulmonology, pediatric gastroenterology, pediatric otorhinolaryngology, pediatric ophthalmology, pediatric dentistry, including orthopedics and orthodontics, pediatric maxillofacial surgery, pediatric urology, pediatric and adolescent gynecology, pediatric dermato-venereology, adolescent narcology, adolescent therapy, pediatric rehabilitation, neonatology.
Obstetric and gynecological profile includes: gynecology, obstetrics, neonatology, medical genetics, high reproductive technologies.
4. Specialized medical care for the population is provided depending on the level of a medical facility.
Chapter 2. Procedure for the provision of specialized medical care
5. Specialized medical care is provided in the form of consultative and diagnostic assistance on an outpatient basis, hospital replacing and inpatient care at the secondary and tertiary levels of medical care.
6. Specialized medical care to the population on an outpatient basis is provided in the manner determined in accordance with subparagraph 31) of Article 7 of the Code.
7. At any level of specialized medical care, in case of difficulty in identifying the diagnosis, including the patient’s non-transportability, a consultation is organized with the involvement of specialists, if necessary with the involvement of a specialist from other medical facilities.
8. Services for the provision of specialized medical care that are not included in the GVFMC list are provided in the system of compulsory social health insurance (hereinafter referred to as the CSHI) or on a paid basis.
9. Specialized medical care is provided by doctors with specialized education and necessary qualifications in accordance with the legislation of the Republic of Kazakhstan.
10. The volume of specialized medical care, including laboratory diagnostic methods of research, is determined by clinical protocols (hereinafter referred to as the Protocol).
11. Children under five years of age, as well as older children, who, in accordance with a doctor’s opinion, need individual care, are hospitalized with their mother or others to provide such care.
12. A person caring for a child receiving inpatient treatment shall be provided with a sleeping place free of charge.
Clause 1. The procedure for the provision of specialized medical care in hospital replacing conditions
13. In hospital replacing settings, specialized medical care in day hospitals is provided on an outpatient and inpatient basis by healthcare entities.
14. Specialized medical care in hospital replacing settings within the GVFMC and in the CSHI system is provided in a day hospital setting by the referral of a primary healthcare specialist or another healthcare entity with the results of laboratory, instrumental studies and consultations of specialized professionals necessary for the treatment of this patient.
15. Services for the provision of specialized medical care in hospital replacing settings, not included in the GVFMC list, are provided in the CSHI system or on a paid basis.
Clause 2. The procedure for the provision of specialized medical care in hospitals
16. Specialized medical care provided to the population in hospitals based on the referral of primary healthcare specialists is included in the GVFMC and CSHI.
17. If it is necessary to provide a patient with specialized medical care, he/she is sent to the appropriate profile (specialized) healthcare entity.
18. Hospitalization of patients is carried out in accordance with the profile of the department (beds).
19. The management of a healthcare organization independently makes a decision on planned hospitalization in the presence of medical indications for persons from socially vulnerable groups of the population: children under 18 years of age, pregnant women, veterans of the Great Patriotic War, persons with disabilities, mothers with many children, pensioners, patients with socially significant diseases within 15% of the volume of planned hospitalization for scientific organizations, 10% for healthcare organizations at the district, town, regional levels, regardless of the form of ownership.
Footnote. Paragraph 19 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).20. Upon discharge from the hospital, the patient is given a discharge summary, which indicates the full clinical diagnosis, the scope of examination, treatment in accordance with the Protocol and recommendations for further observation of the patient.
Information on a patient is simultaneously transmitted to the healthcare entity providing primary healthcare at the place of the patient’s registration.
Chapter 3. The procedure for the provision of high-tech medical care
21. HTMC is provided in hospital replacing and stationary settings.
22. HTMC is provided by medical facilities given an opinion on the capability of a healthcare entity to provide HTMC (hereinafter - the Opinion).
23. To obtain an opinion, a healthcare organization submits an application to the territorial unit of the state body in the field of provision of medical services (care) (hereinafter referred to as the Unit) electronically in the resource management information system (hereinafter referred to as IS “RMS”) in the form according to Appendix 1 to these Rules (hereinafter referred to as Appendix 1).
Footnote. Paragraph 23 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).24. A health care organization applying for the provision of VTMP, in the application, indicates information about compliance with the criteria for providing the requested type of VTMP (hereinafter referred to as the criteria) in the form in accordance with Appendix 2 to these Rules.
Footnote. Paragraph 24 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).25. The unit assesses the healthcare organization’s compliance with the criteria within 30 calendar days from the date of receipt of the application.
If the healthcare organization meets the criteria, the Unit issues a conclusion in the form in accordance with Appendix 3 to these Rules for a period of 3 (three) years.
No later than 2 (two) months before the expiration of the validity period, the healthcare organization submits an application for a new opinion.
Footnote. Paragraph 25 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon the expiration of ten calendar days after the day of its first official publication).26. Conclusions received in accordance with these Rules are re-issued to healthcare organizations planning and (or) carrying out activities while maintaining the production base and activity profile in cases of: reorganization, change of organizational and legal form, change of legal entity, transfer of an object to trust management, confirmed by the authorized body or local government health authorities.
Footnote. Paragraph 26 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).27. Information about the conclusion is entered into the IS RMS. The conclusion is issued signed by the first head of the Unit and (or) the person performing his duties.
Footnote. Pragraph 27 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).28. The healthcare organization that has received the conclusion sends a copy of the conclusion to the FSMS and (or) its territorial branch.
Footnote. Paragraph 28 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).29. A healthcare entity, in case of dismissal (transfer to another position) or replacement of a specialist admitted to provide HTMC by a newcomer, as well as in the event of a malfunction of the declared medical device requiring long-term (more than 3 months) repair or replacement, updates the information in the RM IS within ten working days.
30. In the event of a change in the code or name of the VTMP, the Unit, based on an application from a healthcare organization applying to provide VTMP, if the criteria are met, reissues the conclusion in accordance with the new code or name within 30 calendar days from the date of receipt of the application.
Footnote. Paragraph 30 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 07.09.2022 № KR DSM - 95 (shall be enforced upon expiration of ten calendar days after the day of its first official publication).31. The healthcare entity at the place of the patient’s registration, upon his/her application, on the basis of the opinion of a specialized professional, sends the patient’s documents to the commission for high-tech medical care (hereinafter referred to as the HTMC Commission).
The healthcare entity at the place of the patient’s registration informs him/her on the possibility of an alternative choice of the healthcare entity providing HTMC in the appropriate profile.
32. The HTMC Commission is set up by the head of the local public health authority from among specialized professionals to resolve the issue of referral of the patient to the health entity providing HTMC.
33. The healthcare entity at the place of the patient’s registration submits a package of the patient’s documents in paper or electronic form for consideration by the HTMC Commission.
34. The package of documents provided to the HTMC Commission includes:
1) a copy of the patient’s identity document;
2) referral to a medical facility for hospitalization in a hospital and (or) in a day hospital;
3) an extract of a medical card of an outpatient patient or a medical card of an inpatient patient with an indication of the clinical diagnosis, certified by the signatures of the attending physician, the head of the department and the deputy chief physician for treatment and prophylactic work, as well as the seal of the healthcare entity;
4) the results of clinical and diagnostic (laboratory, instrumental and functional) studies, consultations of specialized professionals in accordance with clinical protocols for diagnosis and treatment.
35. The HTMC Commission:
1) examines the patient’s package of documents in absentia within two working days of their receipt;
2) determines the reasonableness of referring the patient to a healthcare entity providing HTMC;
3) makes a decision drawn up in the form of a protocol.
36. If a positive decision is made, the HTMC Commission registers the referral for hospitalization in the Hospitalization Bureau Portal (hereinafter referred to as the Portal) with the attachment of the patient’s documents.
37. The patient receives a referral to a medical facility for hospitalization generated in electronic format:
1) on the web portal;
2) in the emergency room upon admission to the healthcare entity providing HTMC;
3) upon request from the healthcare entity at the place of registration.
38. The healthcare entity providing HTMC, in the Portal, examines the received referral for hospitalization with the patient’s documents within two working days of receipt and decides on the date of hospitalization.
39. The healthcare entity at the place of the patient’s registration looks at the date of hospitalization in the Portal in the referral set by the healthcare entity providing HTMC and within one working day informs the patient on the date of hospitalization.
A patient is informed about the date of admission to a facility providing HTMC:
1) verbally;
2) by sms-notification;
3) electronically in the user’s account;
4) in medical information systems, also using mobile applications.
40. If a patient is hospitalized in a healthcare entity, given medical indications for providing HTMC to the patient, the attending physician, together with the head of the department or the deputy chief physician for the medical work of this healthcare entity, sends by e-mail (the scanned form of) an extract from the medical record of the inpatient patient to the HTMC Commission.
If a positive decision is made to provide HTMC to a patient who is in a healthcare entity, the HTMC Commission registers the referral in the Portal.
If a negative decision is made to provide HTMC to a patient in a healthcare entity, the HTMC Commission registers the refusal with an indication of the reason in the register of patient admission and hospitalization refusals in accordance with the form approved in subparagraph 31) of Article 7 of the Code and implemented in the Portal in electronic format.
The HTMC Commission makes a negative decision:
1) in the absence of indications for HTMC in accordance with the standards of the organization of medical care and clinical protocols;
2) in case of delivery of an incomplete package of documents in accordance with paragraph 33 of these Rules.
3) upon establishing the inaccuracy of the submitted documents.
41. At the end of the HTMC delivery, the healthcare entity that performed the HTMC sends the patient’s discharge summary to the healthcare entity at the place of the patient’s registration with recommendations for further management, including a joint follow-up plan of effectiveness of provided HTMC.
42. The healthcare entity at the place of the patient’s registration conducts dynamic monitoring of the patient’s condition after the provision of HTMC (complications, disability, survival within one year of the operation, deaths) and in the first quarter of the following year, submits a report to the local public healthcare authorities.
| Appendix 1 to the rules for the provision of specialized medical care, including high-tech medical care |
|
| Form |
Application for capability to provide high-tech medical care (hereinafter - HTMC) submitted by a healthcare entity for _______ (year)
The healthcare entity
________________________________________________________________
(full legal name)
hereby seeks the permission to provide HTMC:
№ | Code | HTMC type | Staff information | Information on medical products | Planned volume of HTMC |
Note:
1. To be filled in by a healthcare entity seeking to provide HTMC in accordance with Appendix 2 of these Rules.
2. A healthcare entity seeking to provide HTMC for the first time does not fill in the “planned volume of HTMC” column.
| Appendix 2 to the Rules for the provision of specialized, including high-tech medical care |
Criteria for healthcare organizations providing high-tech medical care
Footnote. Appendix 2 is in the wording of the Order of the Minister of Healthcare of the Republic of Kazakhstan dated November 14, 2025, No. 143 (shall enter into force upon expiry of ten calendar days after the date of its first official publication).
No. | Codes | Names of types of high-tech medical care | Criteria for personnel | Criteria for medical devices |
1 | 00.50 | Implantation of a biventricular pacemaker without reference to the defibrillator system as a whole (CRT-P) |
The presence on staff of a specialist with a certificate in “Cardiology (interventional cardiology) (adult)” or “Cardiology (interventional arrhythmology) (adult)” or “Cardiology (interventional cardiology) (pediatric)” or “Cardiology (interventional arrhythmology) (pediatric)” or “Cardiac surgery (adult, pediatric)”, work experience in the specialty for at least 3 years, a certificate of advanced training in arrhythmology for at least 108 hours in the last 5 years, work permit | Angiographic installation with hemodynamic system |
2 | 00.51 | Implantation of a biventricular defibrillator system as a whole (CRT-D) |
The presence on staff of a specialist with a certificate in the specialty of "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional arrhythmology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Cardiology (interventional arrhythmology) (pediatric)" or "Cardiac surgery (adult, pediatric)", work experience in the specialty for at least 3 years, a certificate of advanced training in arrhythmology for at least 108 hours in the last 5 years, work permit | Angiographic installation with hemodynamic system |
3 | 00.65 | Percutaneous stent implantation in intracranial arteries |
The presence on staff of a specialist with a certificate in the specialty "Neurosurgery (adult, pediatric)", with at least 5 years of experience in the specialty, a certificate of advanced training in endovascular neurosurgery for at least 432 hours in the last |
Biplane angiographic system. Magnetic resonance imaging scanner. |
4 | 00.93 | Removal of an organ and/or tissue from a cadaver for transplantation | The presence on staff of at least two specialists with a certificate in the specialty of "General Surgery (Transplantology)", with at least 3 years of experience in the transplant department, and a certificate of advanced training in organ transplantation in the amount of at least 108 hours over the past 3 years | Hemodialysis and hemodiafiltration apparatus - at least 2, ultrasound apparatus with Doppler - at least 2, computed tomography scanner - 1, angiograph - 1, surgical coagulator - at least 2, aspiration suction - 2, drug dispenser - 4, electrocardiograph - 1, artificial lung ventilation apparatus - 2, a set of microsurgical instruments - 2, a set of vascular instruments - 2, a set of surgical instruments (retractor) - 2, patient monitoring monitor - 2, scales for determining patient body weight - 1, container for transporting donor organs - 3, acid-base balance analyzer - 1, ultrasonic surgical aspirator - 1 |
5 | 01:53 | Brain lobectomy for epilepsy | The presence on staff of a specialist with a certificate in “Neurosurgery (adult and pediatric)” with at least 5 years of experience in the specialty. A certificate of advanced training in epilepsy surgery totaling at least 216 hours over the past 3 years. Experience performing at least 50 independent microsurgical brain procedures per year. | Intraoperative electroencephalograph. Surgical navigation system for brain interventions. Operating neurosurgical microscope. System for functional neurosurgery and biopsy. Anesthesia and respiratory apparatus. "Craniotome" from a bone processing kit. Magnetic resonance imaging with a magnetic field of at least 1.5 Tesla. Neurosurgical operating table with accessories for neurosurgery. Computed tomography scanner. Set of neurosurgical instruments. Set of microneurosurgical instruments. Surgical coagulator. Ultrasonic dissector |
6 | 02.93 | Implantation or replacement of the electrode(s) of an intracranial neurostimulator | The presence on staff of a specialist with a certificate in “Neurosurgery (adult and pediatric)” with at least 5 years of experience in the specialty and a certificate of advanced training in stereotactic and functional neurosurgery totaling at least 216 hours over the past 3 years. Experience performing independent surgeries using a stereotactic system at least 20 times per year. | Stereotactic frame system. Craniotome. Neurosurgical operating table with rigid fixation. Set of neurosurgical instruments. Bipolar coagulator. Magnetic resonance imaging with a magnetic field of at least 1.5 Tesla. Computed tomography scanner. |
7 | 03.7992 | Operations using a frame stereotactic system | The presence on staff of a specialist with a certificate in the specialty "Neurosurgery (adult, pediatric)", with at least 5 years of experience in the specialty, a certificate of advanced training in stereotactic and functional neurosurgery in the amount of at least 216 hours over the past 3 years | Stereotactic frame system. Craniotome. Neurosurgical operating table with rigid fixation. Set of neurosurgical instruments. Bipolar coagulator. Magnetic resonance imaging with a magnetic field of at least 1.5 Tesla. Computed tomography scanner. |
8 | 03.7993 | Implantation of a brain neurostimulator using a stereotactic system | The presence on staff of a specialist with a certificate in “Neurosurgery (adult and pediatric)” with at least 5 years of experience in the specialty and a certificate of advanced training in stereotactic and functional neurosurgery totaling at least 216 hours over the past 3 years. Experience performing independent surgeries using a stereotactic system at least 20 times per year. | Stereotactic frame system. Craniotome. Neurosurgical operating table with rigid fixation. Set of neurosurgical instruments. Bipolar coagulator. Magnetic resonance imaging with a magnetic field of at least 1.5 Tesla. Computed tomography scanner. |
9 | 03.93 | Implantation or replacement of the spinal neurostimulator electrode(s) | The presence on staff of a specialist with a certificate in “Neurosurgery (adult and pediatric) with at least 5 years of experience in the specialty, and a certificate of advanced training in functional neurosurgery totaling at least 216 hours over the past 3 years. Experience in independent spine and spinal cord surgeries of at least 50 per year. | Anesthesia and respiratory apparatus. Mobile surgical X-ray unit with a C-arm. Electrotrephine with a spinal neurosurgery kit. Magnetic resonance imaging scanner. Neurosurgical operating table with neurosurgical accessories. CT scanner. Neurosurgical instrument set for spinal neurosurgery. |
10 | 20.95 | Implantation of an electromagnetic hearing aid | The presence on staff of a specialist with a certificate in the specialty of "Otolaryngology" (audiology) (adult, pediatric), with at least 10 years of experience in the specialty, and a certificate of advanced training in otolaryngology and cochlear implantation. The presence on staff of a specialist with a certificate in the specialty of "Otolaryngology" ( audiology ) (adult, pediatric) and advanced training in cochlear implant fitting. | Microscope. Tympanic surgical kit. Cochlear implant. Drill. Laptop with software for connecting and configuring the cochlear implant. |
11 | 33.5 | Lung transplant |
The presence on staff of at least two specialists certified in the specialty of “General Surgery (transplantology)” or | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable ultrasound machine for cardiac and vascular examination. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with determination of electrolytes. Surgical aspirator (suction). Anesthesia and respiratory apparatus. Artificial circulation apparatus. Apparatus for carrying out extracorporeal membrane oxygenation. Apparatus for afferent hemocorrection. Apparatus for perfusion of donor lung. |
12 | 33.6 | Combined heart-lung transplantation | The presence on staff of at least two specialists with a certificate in the specialty of "General Surgery (transplantology)" or "Cardiac Surgery (adult, pediatric)", advanced training in transplantology, organ procurement from a cadaver and transportation of donor organs, including the use of specialized equipment for the transportation of human organs, for transplantation of the "heart-lung" complex, work experience in the transplant department of at least 3 years, advanced training in the specialty in the amount of at least 108 hours over the past 3 years | Machine for hemodialysis and hemodiafiltration. Machine for intra-aortic balloon counterpulsation. Centrifuge blood pump. Machine for transporting donor organs. Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Surgical monitor. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with determination of electrolytes. Surgical aspirator (suction). Anesthesia and respiratory apparatus. Artificial circulation apparatus. Apparatus for performing extracorporeal membrane oxygenation. Apparatus for afferent hemocorrection. Apparatus for perfusion of donor lung and heart. |
13 | 35.05 | Endovascular aortic valve replacement | The presence on staff of a specialist with a certificate in the specialty "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or " Angiosurgery ( radiology, interventional surgery) (adult, pediatric)", work experience in the specialty of at least 5 years, a certificate of advanced training in the specialty in the amount of at least 108 hours over the past 5 years | Angiographic system with a hemodynamic system. Anaesthesia and respiratory apparatus. Biphasic defibrillator. Heart-lung machine. |
14 | 35.11 | Open aortic valve valvuloplasty without replacement | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyser with determination of electrolytes. Surgical aspirator (suction). Anaesthesia and respiratory apparatus. Artificial blood circulation apparatus. Apparatus for performing extracorporeal membrane oxygenation. |
15 | 35.12 | Open mitral valve valvuloplasty without replacement | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Artificial blood circulation machine. Anaesthesia and respiratory apparatus. Apparatus for performing extracorporeal membrane oxygenation. |
16 | 35.121 | Balloon valvuloplasty of mitral stenosis | The presence on staff of a specialist with a certificate in the specialty "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or " Angiosurgery (radiology, interventional surgery) (adult, pediatric)", work experience in the specialty of at least 3 years, a certificate of advanced training in the specialty in the amount of at least 108 hours over the past 5 years | Angiographic system with hemodynamics. Temporary pacemaker. Biphasic defibrillator. Intra-aortic balloon pump. Echocardiography with pulse rate monitor. |
17 | 35.14 | Open tricuspid valvuloplasty without replacement | The presence on staff of a specialist certified in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years |
Biphasic defibrillator |
18 | 35.21 | Open and other aortic valve replacements with tissue grafts | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years |
Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor |
19 | 35.23 | Open and other mitral valve replacements with tissue grafts | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years |
Biphasic defibrillator |
20 | 35.33 | Annuloplasty | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years |
Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator. Heart-lung machine. Anesthesia and respiratory apparatus for newborns. |
21 | 35.55 | Elimination of ventricular septal defect by prosthetic repair using a closed method | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Heart-lung machine. Anesthesia and respiratory apparatus. Device for performing extracorporeal membrane oxygenation. |
22 | 35.82 | Complete restoration of the anomalous pulmonary vein connection | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Heart-lung machine. Anesthesia and respiratory apparatus. Device for performing extracorporeal membrane oxygenation. |
23 | 35.83 | Complete restoration of the arterial trunk | The presence on staff of a specialist with a certificate in the specialty of "Cardiac surgery (adult, pediatric), with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Heart-lung machine. Anesthesia and respiratory apparatus. Device for performing extracorporeal membrane oxygenation. |
24 | 35.84 | Complete repair of transposition of the great vessels, not elsewhere classified | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Heart-lung machine. Anesthesia and respiratory apparatus. |
25 | 35.91 | Interatrial transposition of venous outflow | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Artificial blood circulation machine. Anesthesia and respiratory apparatus. Apparatus for performing extracorporeal membrane oxygenation. |
26 | 35.9900 | Heart valve replacement using intraoperative radiofrequency ablation | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator. Heart-lung machine. Anesthesia machine. Radiofrequency ablation generator. |
27 | 35,991 | Mitral orifice clipping | The presence on staff of a specialist with a certificate in "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Angiosurgery (radiology, interventional surgery) (adult, pediatric)", with at least 3 years of experience in the specialty, a certificate of advanced training in the specialty in the amount of at least 108 hours over the past 5 years | Angiographic system with a hemodynamic system. Anesthesia and respiratory apparatus. Biphasic defibrillator. Heart-lung machine. |
28 | 36.1000 | Coronary artery bypass grafting using intraoperative radiofrequency ablation | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with a synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Artificial blood circulation machine. Anesthesia and respiratory apparatus. Apparatus for extracorporeal membrane oxygenation. Radiofrequency ablation generator. |
29 | 36.16 | Double internal mammary-coronary bypass grafting | The presence on staff of a specialist certified in the specialty of "Cardiac Surgery (Adult, Pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with determination of electrolytes. Surgical aspirator. Heart-lung machine. Anesthesia and respiratory apparatus. |
30 | 37.32 | Excision of cardiac aneurysm | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years |
Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor. |
31 | 37.35 | Partial ventriculectomy | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Heart-lung machine. Anesthesia and respiratory apparatus. Device for performing extracorporeal membrane oxygenation. |
32 | 37.36 | Excision, destruction, or removal of the left atrial appendage | The presence on staff of a specialist with a certificate in the specialty of "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional arrhythmology ) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Cardiology (interventional arrhythmology ) (pediatric)" or "Cardiac surgery (adult, pediatric)", work experience in the specialty of at least 3 years, a certificate of advanced training in arrhythmology for at least 216 hours over the past 5 years, permission to work with sources of ionizing radiation |
Angiographic installation with a hemodynamic system, echocardiograph |
33 | 37.51 | Heart transplant | The presence on staff of at least two specialists certified in the specialty of "General Surgery (transplantology)" or "Cardiac Surgery (adult, pediatric)", a certificate of advanced training in transplantology, organ procurement from cadavers and transportation of donor organs, including the use of specialized equipment for the transportation of human organs, work experience in the transplant department for at least 3 years, advanced training in the specialty in the amount of at least 108 hours over the past 3 years | Machine for hemodialysis and hemodiafiltration. Machine for intra-aortic balloon counterpulsation. Centrifugal blood pump. Machine for transporting donor organs. Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with determination of electrolytes. Surgical aspirator (suction). Anesthesia and respiratory apparatus. Artificial circulation apparatus. Apparatus for performing extracorporeal membrane oxygenation. Apparatus for afferent hemocorrection. Apparatus for perfusion of donor hearts. |
34 | 37.66 | Insertion of an implantable cardiac assist device | The presence on staff of a specialist with a certificate in the specialty "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, and a certificate of advanced training in the specialty of at least 108 hours over the past 3 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with determination of electrolytes. Surgical aspirator (suction). Anesthesia and respiratory apparatus. Artificial blood circulation apparatus. Apparatus for afferent hemocorrection. Apparatus for delivering nitric oxide. |
35 | 37.76 | Transvenous replacement atrial and/or ventricular electrode(s) | The presence on staff of a specialist with a certificate in the specialty of "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional arrhythmology ) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Cardiology (interventional arrhythmology ) (pediatric)" or "Cardiac surgery (adult, pediatric)", work experience in the specialty of at least 3 years, a certificate of advanced training in arrhythmology issues of at least 216 hours over the past 5 years, permission to work with sources of ionizing radiation | Angiographic installation with hemodynamic system |
36 | 37.94 | Implantation of an automatic cardioverter /defibrillator | The presence on staff of a specialist with a certificate in the specialty of "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional arrhythmology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Cardiology (interventional arrhythmology) (pediatric)" or "Cardiac surgery (adult, pediatric)", work experience in the specialty of at least 3 years, a certificate of advanced training in arrhythmology of at least 216 hours over the past 5 years, permission to work with sources of ionizing radiation | Angiographic installation with hemodynamic system |
37 | 37.941 | Replacement of an automatic cardioverter /defibrillator, or the entire system | The presence on staff of a specialist with a certificate in the specialty of "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional arrhythmology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Cardiology (interventional arrhythmology) (pediatric)" or "Cardiac surgery (adult, pediatric)", work experience in the specialty of at least 3 years, a certificate of advanced training in arrhythmology of at least 216 hours over the past 5 years, permission to work with sources of ionizing radiation | Angiographic installation with hemodynamic system |
38 | 37.96 | cardioverter /defibrillator pulse generator only | The presence on staff of a specialist with a certificate in the specialty of "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional arrhythmology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Cardiology (interventional arrhythmology) (pediatric)" or "Cardiac surgery (adult, pediatric)", work experience in the specialty of at least 3 years, experience in implanting a pacemaker - at least 30 surgeries, a certificate of advanced training in arrhythmology for at least 216 hours over the past 5 years, permission to work with sources of ionizing radiation | Angiographic installation with hemodynamic system |
39 | 38.12 | Endarterectomy of other arteries of the head and neck | The presence on staff of a specialist with a certificate in the specialty of " Angiosurgery (X-ray surgery, interventional surgery) (adult, pediatric)", with at least 5 years of work experience, a certificate of advanced training in the specialty in the amount of at least 108 hours over the past 5 years | Duplex scanner. Separate operating room for vascular surgery. Cerebral blood flow monitoring. Cerebral oximeter or transcranial Doppler |
40 | 38.34 | Aortic resection with anastomosis | The presence on staff of a specialist with a certificate in the specialty of "Cardiac surgery (adult, pediatric)", with experience in independent open-heart surgeries of at least 100 per year, or in the specialty of " Angiosurgery (X-ray surgery, interventional surgery) (adult, pediatric)", with at least 5 years of experience in the specialty, and at least 108 hours of advanced training in the specialty over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Heart-lung machine. Anesthesia and respiratory apparatus. Device for extracorporeal membrane oxygenation. Device for afferent hemocorrection. |
41 | 38.341 | Correction of aortic arch interruption | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with determination of electrolytes. Surgical aspirator. Heart-lung machine. Anesthesia and respiratory apparatus. |
42 | 39.28 | Extra- intracranial vascular bypass | The presence on staff of a specialist with a certificate in Neurosurgery (adult and pediatric) with at least 5 years of experience in the specialty. A certificate of advanced training in vascular neurosurgery totaling at least 216 hours over the past 3 years. Experience performing at least 50 independent microsurgical procedures on cerebral vessels per year. |
Duplex scanner. X-ray operating room |
43 | 39.591 | Aortopulmonary window plasty | The presence on staff of a specialist with a certificate in the specialty of "Cardiac Surgery (adult, pediatric)", with at least 5 years of experience in the specialty, at least 50 independent open-heart surgeries per year, and a certificate of advanced training in the specialty of at least 108 hours over the past 5 years | Biphasic defibrillator with synchronization function. Temporary pacemaker. Stationary or portable device for ultrasound examination of the heart and blood vessels. Monitor with invasive hemodynamic function. Perfusor. Infusomat. Transesophageal sensor. Surgical electrocoagulator. Acid-base balance analyzer with electrolyte determination. Surgical aspirator (suction). Heart-lung machine. Anesthesia and respiratory apparatus. |
44 | 39.72 | Endovascular (total) embolization or occlusion of vessels of the head and neck | The presence on staff of a specialist with a certificate in the specialty of "Neurosurgery (adult, pediatric)" or " Angiosurgery (radiology, interventional surgery)", with at least 5 years of experience in the specialty, a certificate of advanced training in endovascular neurosurgery of at least 432 hours over the past 3 years. Experience in independent endovascular surgeries on cerebral vessels of at least 50 per year. Permission to work with sources of ionizing radiation. |
Biplane angiographic unit. |
45 | 39.73 | Endovascular implantation of a prosthesis into the thoracic aorta | The presence on staff of a specialist with a certificate in the specialty "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Angiosurgery (radiology, interventional surgery) (adult, pediatric)", work experience in the specialty of at least 3 years, a certificate of advanced training in the specialty in the amount of at least 108 hours over the past 5 years | Angiographic system with a hemodynamic system. Anesthesia and respiratory apparatus. Biphasic defibrillator. Heart-lung machine. |
46 | 39.731 | Stenting coarctation of the aorta | The presence on staff of a specialist with a certificate in the specialty "Cardiology (interventional cardiology) (adult)" or "Cardiology (interventional cardiology) (pediatric)" or "Angiosurgery (radiology, interventional surgery)", work experience in the specialty of at least 3 years, a certificate of advanced training in the specialty in the amount of at least 108 hours over the past 5 years | Duplex scanner. Intraoperative monitoring of invasive blood pressure. Angiographic system with hemodynamic system. Blood reinfusion machine. |
47 | 41.01 | Bone marrow mesenchymal stem cell transplantation | The presence on staff of a specialist with a certificate in the specialty of "Hematology (adult)" or "Oncology and hematology (pediatric)", with at least 5 years of experience in the specialty, and a certificate of advanced training in bone marrow transplantation of at least 108 hours over the past 5 years |
The wards must be equipped with hepafilters or other devices for pumping laminar air flow; the rooms must be single or double occupancy with a 24-hour post. The laboratory for the procurement and biotechnology of stem cells must be equipped with equipment for collecting biomaterial (mechanical cell biotechnology method or cell separator), a flow cytometer, equipment for isolating stem cells - a laminar flow cabinet, a CO2 incubator. The laboratory must be able to perform cytological, immunophenotypic, immunohistochemical, molecular genetic, and hemostasiological tests. |
48 | 41.04 | Autologous hematopoietic stem cell transplantation without purification | The presence on staff of a specialist with a certificate in the specialty of "Hematology (adult)" or "Oncology and hematology (pediatric)", with at least 5 years of experience in the specialty, and a certificate of advanced training in bone marrow transplantation of at least 108 hours over the past 5 years | The wards are equipped with hepafilters and/or other devices for pumping laminar air flow. The wards are single-occupancy with a separate 24-hour post. The wards are equipped with at least 1 syringe pump per bed and at least 4 perfusion pumps per bed, at least 2 artificial lung ventilators, a patient monitor, and consoles with supplied gases. The laboratory performs cytological, cytogenetic, immunophenotypic, immunohistochemical, molecular genetic, hemostasiological, and microbiological studies (on a contractual basis). The stem cell procurement laboratory is equipped with cell collection equipment (cell separator), a flow cytometer, and cryostorage equipment (on a contractual basis). |
49 | 41.05 | Unpurified allogeneic hematopoietic stem cell transplantation | The presence on staff of a specialist with a certificate in the specialty of "Hematology (adult)" or "Oncology and hematology (pediatric)", with at least 5 years of experience in the specialty, and a certificate of advanced training in bone marrow transplantation of at least 108 hours over the past 5 years | The wards are equipped with hepafilters and/or other devices for pumping laminar air flow. The wards are single-occupancy with a separate 24-hour post. The wards are equipped with at least 1 syringe pump per bed and at least 4 perfusion pumps per bed, at least 2 artificial lung ventilators, a patient monitor, and consoles with supplied gases. The laboratory performs cytological, cytogenetic, immunophenotypic, immunohistochemical, molecular genetic, hemostasiological, and microbiological studies (on a contractual basis). The stem cell procurement laboratory is equipped with cell collection equipment (cell separator), a flow cytometer, and cryostorage equipment (on a contractual basis). |
50 | 41.06 | Umbilical cord stem cell transplantation | The presence on staff of a specialist with a certificate in the specialty of "Hematology (adult)" or "Oncology and hematology (pediatric)" or "General surgery (transplantology)", with at least 5 years of experience in the specialty, a certificate of advanced training in hematopoietic stem cell transplantation of at least 108 hours over the past 5 years | The wards are equipped with hepafilters or other devices for pumping laminar air flow; the wards must be single-occupancy with a 24-hour post. The laboratory must be capable of performing cytological, cytogenetic, immunophenotypic, immunohistochemical, molecular genetic, hemostasiological, and microbiological studies, as well as HLA typing (subject to contract). The laboratory for the procurement and biotechnology of stem cells must be equipped with equipment for collecting biomaterial (a cell separator and/or a mechanical cell biotechnology method), a flow cytometer, cryostorage equipment, and laminar flow cabinets (subject to contract). |
51 | 41.10 | Fetal stem cell transplantation | The presence on staff of a specialist with a certificate in the specialty of "Hematology (adult)" or "Oncology and Hematology (pediatric)" or "General Surgery (transplantology)", with at least 5 years of experience in the specialty, a certificate of advanced training in cell therapy or cell transplantation, or cell technology for at least 108 hours over the past 5 years | The wards are equipped with hepafilters or other devices for pumping laminar air flow; the rooms must be single or double occupancy with a 24-hour staff. The stem cell procurement and biotechnology laboratory is equipped with biomaterial collection equipment (mechanical cell biotechnology and/or cell separator), a flow cytometer, and stem cell isolation equipment—a laminar flow cabinet and a CO2 incubator. The laboratory must be capable of performing cytological, immunophenotypic, immunohistochemical, molecular genetic, hemostasis, and microbiological studies, as well as HLA typing (on a contractual basis). |
52 | 50.52 | Liver transplantation from a deceased donor | The presence on staff of at least two specialists with a certificate in the specialty "General Surgery (transplantology)", a certificate of advanced training in transplantology, organ harvesting from a cadaver and transportation of donor organs, including the use of specialized equipment for the transportation of human organs, in liver transplantation in the amount of at least 108 hours over the past 3 years, work experience in the transplant department for at least 3 years | Bypass Circulation Device - Bypass. Hemodialysis and hemodiafiltration devices - at least 2, Doppler ultrasound devices - at least 2, CT scanner - 1, angiograph - 1, mono- and bipolar electrocoagulators - 2, aspiration suction devices - 2, drug dispensers - 4, electrocardiograph - 1, artificial lung ventilation device - 2, binocular loupes - 2, microsurgical instrument kit - 2, vascular instrument kit - 2, C-arm X-ray machine - 1, harmonic ultrasonic scalpel - 2, surgical instrument kit (retractor) - 2, patient monitoring monitor - 2, patient weight scales - 1, donor organ transportation container - 1, blood reinfusion device - 1, acid-base balance analyzer - 1, ultrasonic surgical aspirator - 1 |
53 | 50.59 | Other liver transplant | The presence on staff of at least two specialists with a certificate in the specialty "General Surgery (transplantology)", a certificate of advanced training in transplantology, organ procurement from a cadaver and transportation of donor organs, including the use of specialized equipment for the transportation of human organs, in liver transplantation in the amount of at least 108 hours over the past 3 years, work experience in the transplant department for at least 3 years | Bypass Circulation Device – Bypass. Hemodialysis and hemodiafiltration apparatus - at least 2, ultrasound apparatus with Doppler - at least 2, computed tomography scanner - 1, angiograph - 1, surgical coagulator - at least 2, aspiration suction - 2, drug dispenser - 4, electrocardiograph - 1, artificial lung ventilation apparatus - 2, binocular loupes - 2, set of microsurgical instruments - 2, set of vascular instruments - 2, C-arm X-ray machine - 1, harmonic ultrasonic scalpel - 2, laparoscopic endovideosurgical stand - 1, set of surgical instruments (retractor) - 2, patient monitoring monitor - 2, scales for determining patient’s body weight - 1, container for transporting donor organs - 1, blood reinfusion apparatus - 1, acid-base balance analyzer - 1, ultrasonic surgical aspirator - 1. Mono- and bipolar electrocoagulator – 2 |
54 | 52.53 | Radical subtotal pancreatotomy | The presence on staff of a specialist with a certificate in General Surgery (abdominal surgery) or Oncology (adult) must be on staff, with at least 10 years of experience in the specialty, and a certificate of advanced training in the relevant field, including at least 108 hours. When providing this service to individuals under 18 years of age, a specialist with a certificate in Pediatric Surgery (neonatal surgery) must be on staff, with at least 10 years of experience in the specialty. |
Large surgical kit. Vascular surgical kit. Monopolar and bipolar electrocoagulator. |
55 | 52.80 | Pancreas transplantation, unspecified | The presence on staff of at least two specialists with a certificate in the specialty "General Surgery (transplantology)", a certificate of advanced training in transplantology, organ procurement from a cadaver and transportation of donor organs, including the use of specialized equipment for the transportation of human organs, for pancreas transplantation in the amount of at least 108 hours over the past 3 years, work experience in the transplant department for at least 3 years | Hemodialysis and hemodiafiltration apparatus - at least 2, ultrasound apparatus with Doppler - at least 2, computed tomography scanner - 1, angiograph - 1, mono- and bipolar electrocoagulator - 2, aspiration suction - 2, drug dispenser - 4, electrocardiograph - 1, artificial lung ventilation apparatus - 2, binocular loupes - 2, a set of microsurgical instruments - 2, a set of vascular instruments - 2, harmonic ultrasonic scalpel - 2, a set of surgical instruments (retractor) - 2, patient monitoring monitor - 2, scales for determining patient body weight - 1, container for transporting a donor organ - 1, blood reinfusion apparatus - 1, acid-base balance analyzer - 1, ultrasonic surgical aspirator - 1 |
56 | 54.970.059 | Hyperthermic intraperitoneal chemotherapy (HIPEC) | The presence of a specialist on staff with a certificate in the specialty "Oncology (adult)", with at least 10 years of experience in the specialty, and a certificate of advanced training in the profile of at least 108 hours | Artificial lung ventilation. Anesthesia machine. Electric operating table. Intensive care unit. X- ray machine. Computed tomography with a syringe injector or magnetic resonance imaging, ultrasound diagnostic machine. Clinical diagnostic laboratory. Pathology laboratory (histology, cytology). Extensive surgical kit. Availability of a device for hyperthermic intraperitoneal chemotherapy (HIPEC) with the appropriate consumables. |
57 | 55.5016 | Radical nephrectomy with thrombectomy | The presence on staff of a specialist with a certificate in the specialty of "Urology and Andrology (adult, pediatric)" or "Oncology (adult)" with at least 10 years of experience in the specialty, a certificate of advanced training in vascular surgery of at least 108 hours, and oncourology of at least 108 hours. The presence on staff of a specialist with a certificate in the specialty of "Angiosurgery (adult, pediatric)" or having a contract for the provision of vascular surgery services. | Artificial lung ventilation. Anesthesia machine. Electric operating table. Intensive care unit. X-ray machine. CT machine with a syringe injector or magnetic resonance imaging machine, ultrasound diagnostic machine. Clinical diagnostic laboratory. Pathology laboratory (histology, cytology). Ultrasound machine with Doppler . Large surgical kit. Vascular surgical kit. |
58 | 55.62 | Kidney transplant | The presence on staff of at least two specialists with a certificate in the specialty "General Surgery (transplantology)", a certificate of advanced training in transplantology, organ procurement from a cadaver and the transportation of donor organs, including the use of specialized equipment for the transportation of human organs, kidney transplantation in a volume of at least 108 hours over the past 3 years, and work experience in the transplant department for at least 3 years | Machine for hemodialysis and hemodiafiltration - not less than 2, ultrasound machine with Doppler - not less than 2, computed tomography scanner - 1, angiograph - 1, surgical coagulator - not less than 2, aspiration suction - 2, drug dispenser - 4, electrocardiograph - 1, artificial lung ventilation machine - 2, binocular loupes - 2, set of microsurgical instruments - 2, set of vascular instruments - 2, set of surgical instruments (retractor) - 2, patient monitoring monitor - 2, scales for determining patient body weight - 1, container for transporting donor organ - 1, blood reinfusion apparatus, acid-base balance analyzer - 1 |
59 | 56.7404 | Ureterocystoneostomy using a modified Politano-Letbetter method with an additional antireflux mechanism according to Blokhin | The presence on staff of a specialist with a certificate in the specialty of "Urology and Andrology" (adult, pediatric), with at least 10 years of experience in the specialty | Artificial lung ventilation. Anesthesia machine. Electric operating table. Intensive care unit. X-ray machine. Computed tomography with a syringe injector or magnetic resonance imaging, ultrasound diagnostic equipment. Clinical diagnostic laboratory. Pathomorphology laboratory (histology, cytology). Large surgical kit. Vascular surgical kit. |
60 | 63.8301 | Microsurgical intussusception vasoepididymostomy for obstructive azoospermia | The presence on staff of a specialist with a certificate in the specialty "Urology and Andrology (adult, pediatric)", with at least 10 years of experience in the specialty, and a certificate of advanced training in genital surgery of at least 216 hours over the past 5 years | Microsurgical instrument set. Large surgical instrument set. Anesthesia and respiratory apparatus. High-frequency electrocoagulator. |
61 | 78.191 | Application of an external fixation device on pelvic bones requiring staged correction | The presence on staff of a specialist with a certificate in the specialty "Traumatology-orthopedics (combustiology ) (adult, pediatric)", with at least 5 years of experience in the specialty, a certificate of advanced training in the specialty in the amount of at least 108 hours over the past 5 years | Electron-optical converter. Power tool (electric drill). X-ray-negative universal operating table with an attachment for traumatology and orthopedics. |
62 | 81.041 | Spinal fusion of the thoracic and lumbar vertebrae, anterior approach, with fixation using internal transpedicular systems and cages | The presence on staff of a specialist with a certificate in Traumatology-Orthopedics (Combustiology) (adult, pediatric) or Neurosurgery (adult, pediatric). At least 5 years of experience in the specialty. A certificate of advanced training in spinal surgery totaling at least 216 hours over the past 3 years. At least 50 independent spine and spinal cord surgeries per year are required. |
Electron-optical converter. Power tool (electric drill). X-ray-negative universal operating table. Instrumentation for transpedicular fixation. Instruments for cage installation. Binocular loupe. Magnetic resonance imaging scanner. |
63 | 81.042 | Spinal fusion of the thoracic and lumbar vertebrae, anterior approach, with internal fixation using endocorrectors | The presence on staff of a specialist with a certificate in Traumatology-Orthopedics (Combustiology) (adult, pediatric) or Neurosurgery (adult, pediatric). At least 5 years of experience in the specialty. A certificate of advanced training in spinal surgery totaling at least 216 hours over the past 3 years. At least 50 independent spine and spinal cord surgeries per year are required. |
Electron-optical converter. Power tool (electric drill). X-ray-negative universal operating table. Instrumentation for transpedicular fixation. Instruments for cage installation. Binocular loupe. Magnetic resonance imaging scanner. |
64 | 81.062 | Spinal fusion of the lumbar and sacral vertebrae, anterior approach, with internal fixation using endocorrectors | The presence on staff of a specialist with a certificate in Traumatology-Orthopedics (Combustiology) (adult, pediatric) or Neurosurgery (adult, pediatric). At least 5 years of experience in the specialty. A certificate of advanced training in spinal surgery totaling at least 216 hours over the past 3 years. At least 50 independent spine and spinal cord surgeries per year are required. | Electron-optical converter. Power tool (drill with burs, cutters, and saws). X-ray-negative universal operating table. Instrumentation for transpedicular fixation. Binocular loupe. Magnetic resonance imaging scanner with a magnetic field of at least 1.5 Tesla. Computed tomography scanner |
65 | 81.073 | Lumbar and sacral fusion, lateral transverse approach, disc replacement | The presence on staff of a specialist with a certificate in Traumatology-Orthopedics (Combustiology) (adult, pediatric) or Neurosurgery (adult, pediatric). At least 5 years of experience in the specialty. A certificate of advanced training in spinal surgery totaling at least 216 hours over the past 3 years. At least 50 independent spine and spinal cord surgeries per year are required. | Electron-optical converter. Power tool (drill with burs, cutters, and saws). X-ray-negative universal operating table. Instrumentation for transpedicular fixation. Magnetic resonance imaging with a magnetic field of at least 1.5 Tesla. Computed tomography. Binocular loupe. |
66 | 81.53 | Revision hip replacement, unspecified | The presence on staff of a specialist with a certificate in Traumatology and Orthopedics (Combustiology) (adult and pediatric). At least 5 years of experience in the specialty. A certificate of advanced training in joint replacement surgery totaling at least 216 hours over the past 5 years. A minimum of 60 primary replacements performed per year over the past 5 years. | An electron-optical converter or a mobile surgical X-ray unit. Power tools (oscillating saw, reamer). Specialized surgical instruments for each endoprosthesis model. X-ray-negative universal operating table. |
67 | 81.55 | Knee replacement revision, unspecified | The presence on staff of a specialist with a certificate in Traumatology and Orthopedics (Combustiology) (adult and pediatric). At least 5 years of experience in this specialty. At least 216 hours of advanced training in joint replacement over the past 5 years. A minimum of 30 primary joint replacements performed per year over the past 5 years. | An electron-optical converter or a mobile surgical X-ray unit. Power tools (oscillating saw, reamer). Specialized surgical instruments for each endoprosthesis model. X-ray-negative universal operating table. |
68 | 81.9610 | Joint and/or bone replacement for bone tumors | The presence on staff of a specialist with a certificate in Traumatology and Orthopedics (Combustiology) (adult and pediatric) and a consultant oncologist. At least 10 years of experience in the specialty and a certificate of advanced training in musculoskeletal tumors (at least 216 hours) are required. | Computerized tomography or magnetic resonance imaging (MRI). Instrumentation for large joint replacement surgeries. Microsurgical kit. Oncological endoprostheses. Surgical X-ray unit. |
69 | 86.310.058 | Electrochemotherapy | The presence of a specialist on staff with a certificate in the specialty "Oncology (adult)", with at least 10 years of experience in the specialty, and a certificate of advanced training in the profile of at least 108 hours | Artificial lung ventilation. Anesthesia machine. Electric operating table. Intensive care unit. Clinical diagnostic laboratory. Pathology laboratory (histology, cytology). Small surgical kit. Electrochemotherapy apparatus ( cliniparator) with consumables, including a specialized probe |
70 | 86.66 | Skin allografting | The presence on staff of a specialist with a certificate in the specialty of "Traumatology-orthopedics (combustiology) (adult, pediatric)" and (or) "Plastic surgery", with at least 5 years of experience as a physician, a certificate of advanced training in combustiology in the amount of at least 216 hours over the past 5 years | Suspension of allogeneic skin cells - diploid fibroblast culture |
71 | 92.201 | High-dose-rate brachytherapy for prostate cancer | The presence on staff of a specialist with a certificate in Radiation Therapy (Radiation Oncology), with at least 5 years of experience in the specialty, and a certificate of advanced training in high-dose brachytherapy of at least 108 hours. A specialist with a higher education in physics and/or a higher technical education, who has completed specialization in dosimetry and radiation therapy planning (medical physicist), with at least 5 years of experience in the specialty, and at least 108 hours of specialization in planning high-tech radiation therapy techniques. Permission to work with ionizing radiation sources. A specialist with a certificate in Anesthesiology and Resuscitation (adult) must be on staff, with at least 3 years of experience. The presence on staff of a specialist certified in the specialty of "Oncology (adult)" or "Urology and andrology (adult, pediatric)", with at least 5 years of experience in the specialty, and a certificate of advanced training in contact radiation therapy of at least 108 hours | Software for high-dose-rate brachytherapy systems. Brachytherapy equipment and accessories, including a stabilizer and stepper with a device for attaching the ultrasound transducer, a positioning system, a template. Ultrasound machine with accessories (must have software for brachytherapy with a biplane (transrectal probe and grid overlay mode on the image). The operating room is sterile, with an operating table equipped with removable accessories. An 18- gauge brachytherapy needle. A brachytherapy stabilizing needle. A disposable brachytherapy balloon. A brachytherapy apparatus with an iridium-192 source. Auxiliary equipment: Dosimeter kit. Closed X-ray protective gown, lead equivalent of 0.5 mm Pb in front and 0.25 mm Pb in the back. X-ray protective collar 0.35 mm. X-ray protective cap 0.35 mm Pb, X-ray protective gloves 0.25 mm Pb. brachytherapy. Disposable brachytherapy balloon. Brachytherapy device with an iridium -192 source. Auxiliary equipment: dosimeter kit. Closed X-ray protective gown, lead equivalent of 0.5 mm Pb in front and 0.25 mm Pb in the back. X-ray protective collar 0.35 mm. X-ray protective cap 0.35 mm Pb, X-ray protective gloves 0.25 mm Pb |
72 | 92.202 | Interstitial radiation therapy (brachytherapy) for localized prostate cancer | The presence on staff of a specialist with a certificate in Radiation Therapy (Radiation Oncology) with at least 5 years of experience in the specialty, and a certificate of advanced training in interstitial radiation therapy (brachytherapy) of at least 108 hours. A specialist with a higher education in physics or a higher technical education, who has completed specialization in dosimetry and radiation therapy planning (medical physicist), with at least 5 years of experience in the specialty, and at least 108 hours of specialization in planning high-tech radiation therapy techniques. Permission to work with ionizing radiation sources. The presence on staff of a specialist with a certificate in Anesthesiology and Resuscitation (adult), with at least 3 years of experience. The presence on staff of a specialist certified in the specialty of "Oncology (adult)" or "Urology and andrology (adult, pediatric)", with at least 5 years of experience in the specialty, and a certificate of advanced training in contact radiation therapy of at least 108 hours |
Brachytherapy software Low-dose-rate systems. Brachytherapy equipment with accessories, including a stabilizer, a stepper with a device for attaching an ultrasound transducer, a positioning system, and a template. Ultrasound machine with accessories (must have brachytherapy software) with a biplane transrectal sensor and the coordinate grid overlay mode (see the image). The operating room is sterile, the operating table has a set of removable accessories. Sources of radioactive radiation – |
| 92.203 | High-dose-rate brachytherapy for gynecological cancer | The presence on staff of a specialist with a certificate in Radiation Therapy (Radiation Oncology), with at least 5 years of experience in the specialty and a certificate of at least 216 hours of advanced training in brachytherapy over the past 5 years. A specialist with a higher education degree in physics or a higher technical education with at least 3 years of experience in the specialty and at least 2 years of experience operating a brachytherapy machine must be on staff. They must be certified to work with ionizing radiation sources. |
Brachytherapy equipment with high power Ir-192 or Co-60 sources with additional accessories (applicators and catheters). |
74 | 92.321 | Radiosurgical treatment of diseases of the central nervous system using the Gamma Knife apparatus | The presence on staff of at least two specialists with a certificate in the specialty of "Neurosurgery," having at least 5 years of experience, and have completed at least 108 hours of training on a Gamma Knife device. At least two specialists with a higher education in nuclear physics or medical physics, at least 3 years of experience in the specialty, at least 2 years of experience working with ionizing radiation sources, and have completed at least 108 hours of training on a Gamma Knife device. An oncologist on staff, or one of the specialists holding a certificate of retraining in the medical specialty of "Radiation Therapy" (Radiation Oncology). All staff specialists must have a certificate of 54 hours of training on working with ionizing radiation sources. | Gamma Knife unit: irradiation unit; set of radioactive sources - 192 pcs. cobalt-60 60Co; patient positioning system; computer planning system for tumor contouring, calculation and delivery of the optimal dose during radiosurgical treatment, stereotactic frame for rigid fixation. Magnetic resonance imaging scanner - 1, computed tomography scanner - 1, angiograph - 1 |
75 | 92.330.001 |
Proton therapy |
Staff availability: |
Proton therapy system consisting of: |
76 | 99,791 | Procurement of hematopoietic stem cells | The presence on staff of a specialist with a certificate in the specialty of "Hematology (Adult)" or "Oncology and Pediatric Hematology", with at least 3 years of experience in the specialty, and a certificate of advanced training in bone marrow transplantation of at least 108 hours over the past 5 years | Availability of one- to two-bed wards equipped with hepafilters or other laminar airflow devices, equipped with a ventilator, and patient monitors. The stem cell laboratory must be equipped with cell collection equipment (cell separator), a flow cytometer, and cryostorage equipment (subject to a service contract). |
| Appendix 3 to the Rules for provision of specialized, including high-tech medical care |
Form
Conclusion on the compliance of a healthcare organization with providing high-tech medical care for the period
from "" 20 ____ to " " 20 __yy.
Footnote. Appendix 3 - as amended by the order of the Minister of Health of the Republic of Kazakhstan dated 28.12.2023 № 175 (shall be enforced ten calendar days after the day of its first official publication).
1. Healthcare organization __________________________________
(full legal name)
2. Name of the type of high-tech medical care provided:
_______________________________________________________________
Criteria | Compliance | Non-compliance | Justification for non-compliance | conclusion |
Personnel | ||||
Medical products | ||||
Final conclusion | ||||
Note: To be completed by the territorial division of the state body in the field of medical and pharmaceutical control.
| Appendix 2 to Order № KR DSM-238/2020 of the Minister of Healthcare of the Republic of Kazakhstan as of December 8, 2020 |
The list of some invalidated orders of the Minister of Healthcare of the Republic of Kazakhstan
1. Order № 12 of the Minister of Healthcare of the Republic of Kazakhstan as of February 7, 2017 “On approval of the Rules for the provision of high-tech medical services” (registered in the State Registration Register of Regulatory Legal Acts under № 14868, published on March 27, 2017 in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan).
2. Order 469 of the Minister of Healthcare of the Republic of Kazakhstan as of July 11, 2017 “On amending Order № 12 of the Minister of Healthcare of the Republic of Kazakhstan as of February 7, 2017 “On approval of the Rules for the provision of high-tech medical services” (registered in the State Registration Register of Regulatory Legal Acts under № 15441, published on August 23, 2017 in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan).
3. Order № KR DSM-33 of the Minister of Healthcare of the Republic of Kazakhstan as of April 15, 2019 “On amending Order № 12 of the Minister of Healthcare of the Republic of Kazakhstan as of February 7, 2017 “On approval of the Rules for the provision of high-tech medical services” (registered in the State Registration Register of Regulatory of legal acts under № 18535, published on April 19, 2019 in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan).
4. Paragraph 1 of the List of regulatory legal acts of the Ministry of Healthcare of the Republic of Kazakhstan, which are amended and supplemented, approved by Order № KR DSM-37/2020 of the Minister of Healthcare of the Republic of Kazakhstan as of April 10, 2020 “On amendments and additions to some regulatory legal acts of the Ministry Healthcare of the Republic of Kazakhstan” (registered in the State Registration Register of Regulatory Legal Acts under № 20381, published on April 15, 2020 in the Reference Control Bank of Regulatory Legal Acts of the Republic of Kazakhstan).