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n v . m tna . w w w e i V t Lua Di~u 3. Di~u ki~n ciia ngtrOi ke dO'n thuBc va ph~m vi ke dO'n thuBc y hQc cA truy~n, ke dO'n thuBc y hQc cA truy~n k~t hQll v6i thuBc din dtrgc 1. Nguai ke dan thu6c phai dang harm nghS t~i C(J sa kham b~nh, chua b~nh hqp phap, c6 ch(rng chi h~mh nghS kham b~nh, chua b~nh theo quy dinh cua phap lu~t vs kham b~nh, chua b~nh. 2. Bac sy chuyen khoa y h<;>c c6 truy~n, bac sy dinh huang y h<;>c c6 truysn, dugc phep ke dan tat cac cac d~ng thu6c y h<;>c c6 truySn va ke dan kSt hqp thu6c y h<;>c c6 truySn v6i thu6c tan dugc theo dting ph~ vi chuyen mon hanhnghS. 3. Bac sy da khoa, bac sy chuyen khoa khac va y sy da khoa khi ke dan kSt hqp y h<;>c c6 truySn chi duqc ke dan thu6c thanh phfun y h<;>c c6 truySn. 4. Y sy y h<;>c c6 truysn dang lam vi~c t~i co sa kham b~nh chua b~nh tuysn huy~n cua Nha nuoc ho~c tr~m y tS xa phuang thi tran, y ts co quan truang h 9 c dugc ke dan cit ca cac d~g thu6c y h<;>c c6 truysn phil hgp voi ph~m vi chuyen mon hanh nghS. 5. Y sy y h<;>c c6 truySn cong tac t~i vilng c6 diSu ki~n kinh tS xa h(>i kh6 khan ho~c d~c bi~t kh6 khan noi chua c6 bac si dugc phep ke dan thu6c y h<;>c c6 truySn, kSt hqp v6i thu6c tan dugc sau duqc Giam d6c ho~c nguoi dtmg dAu co s& kham b~nh, chua b~nh phan cong b~ng van ban. n v . am n t e i atV 6. Luang y chi duqc ke dan thu6c y h<;>c c6 truySn theo dung ph~m vi chuyen mon hanh nghS, khong dugc phep ke dan thu6c kSt hqp y h<;>c c6 truySn v6i thu6c tan dugc. u L . www 7. Nguoi c6 bai thu6c chua b~nh gia truy~n chi duqc phep ke dan bai thu6c gia truySn da duqc cap co th~m quySn d.p giay chtmg nh~ theo quy d!nh. Di~u 4. Nguyen t~c ke dO'n thuBc y hQc cA truy~n, ke dO'n k~t hgp y hQc cA truy~n v6i thuBc tan dugc 1. Chi dugc ke dan thu6c sau khi da tn,rc tiSp kham b~nh, ch~n doan b~nh va bi~n ch(rng lu~n tri theo y h<;>c c6 truySn, kSt hgp y h<;>c c6 truySn v6i y h<;>c hi~n d~i. 2. Vi~c ke dan thu6c phai bao dam dung lo~i thu6c, dung liSu lugng, phil hgp voi chk doan va diSn biSn b~nh ly. 3. Khong duqc ke vao dan thu6c: a) Thu6c khong nhb m\}c dich phong b~nh, chua b~nh; b) Thu6c khong duqc phep luu hanh hqp phap t~i Vi~t Nam; c) Thvc ph~m chuc nang; d) My phfun; d) Theo ds nghi cua nguoi b~nh. 2 l>i~u 5. Cac hinh tbuc ke dO'n thuBc y hQc c& truy~n, ke dO'n thuBc k~t hQ'p y hQc c& truy~n v6i thuBc tan dtrqc 1. Cac hinh thuc ke don thuBc y h<;>c c6 truySn: a) Ke dan thuBc thang; b) Ke dan thuBc thanh ph~m y h<;>c c6 truySn; 9an p~6i hqp cac d:;mg thu6c y h<;>c c6 truySn gbm thu6c thimh . c) Ke pham y hQc co truyen, thuoc thang; d) Ke dan theo bai thuBc gia truySn. 2. Cac hinh thuc ke don thuBc kSt hqp y hQc c6 truySn v6i thu6c tan duqc: a) KSt hqp thu6c tpang va thu6c tan duqc; b) KSt hqp thu6c thanh ph~m y hQC c6 truySn va thu6c tan duqc; c) KSt hqp thu6c thang, thuBc thanh ph~m y hQC c6 truySn va thuBc tan duqc. DBi v6i nguai b~nh diSu tri ngo~i tru, khi ke dan thu6c c6 kSt hqp y hQc c6 truySn v6i thu6c tan duqc thi ph~n ke dan thu6c thang thvc hi~n theo miu Don thu6c thang ngo~i tru quy dinh t~i Ph\1 ll,lc ban hanh kern theo Thong tu nay, ph~n ke thuBc tan duqc va thuBc thanh ph~m y hQc c6 truySn thvc hi~n theo Thong tu cua B9 truang B9 Y tS quy dinh vS ke dan thu6c trong diSu trj ngo~i tru. n v . am u L . w ww n t e i atV l>i~u 6. Htr&ng dfin ke dO'll thuBc 1. Quy dinh chung vS ke dan thu6c a) Chfr viSt ro rang, chinh xac va ghi du theo cac m1,1c in trong dan thu6c ho~c trong s6 kham b~nh cua nguai b~nh ho~c t~i ta phai diSu tri trong hb so b~nh an; b) Ghi chinh xac dia chi nai nguai b~nh dang cu tru theo quy dinh hanh chinh vs d!a danh: s6 nha, duang ph6, t6 dan ph6 ho~c thon, ~p, ban, xa, phuang, thi tdn; c) D6i v6i tre du6i 72 th{mg tu6i thi phai ghi s6 thang tu6i va ghi them ten b6 ho~c illy cua tre; d) Truang hqp c6 sua chua dan thu6c thi nguai ke dan phai k)l, ghi ro hQ ten, ngay' thang ben c~nh n9i dung sua; d) G~ch cheo ph~n gi~y con tr6ng tu phia du6i n9i dung ke don dSn phia tren chu kY cua nguai ke dan; kY' ghi ro hQ ten nguai ke dan. 2. Ke dan d6i v6i thuBc y hQc c6 truySn: a) ViSt ten thu6c tiSng Vi~t chinh xac, ro rang, khi ke dan thu6c thang ghi ten thuang dimg, ghi ro liSu luqng, don vi tinh, khong viSt t~t ten thu6c dBi v6i cac vi thu6c y h<;>c c6 truysn; 3 b) Chi dinh r5 liSu dung, each dung va duemg dung. D6i v6i ke dan thu6c thang, trong qua trinh diSu tri n{>i tru, n~u khong thay dbi chi dinh diSu tri va vftn gifr nguyen bai thu6c da duqc chi dinh ngay tru6c d6 thi duqc phep ke lc;t.i b~ng each ghi "Bai thu6c ho~c dan thu6c cua ngay' thang, nam" va chi duqc phep ke lc;t.i m9t lkn; c) Huang d~n C\l thS each s~c thu6c, each u6ng thu6c, thai gian u6ng thu6c; sa kham b~nh, chua d) D6i v6i thu6c thanh ph~m y hQC cb truySn do C(J b~nh tv san xu~t thi ghi theo ten da duqc c~p c6 th~m quySn phe duy~t luu hanh n9i b{>; D6i vm thu6c duqc luu hanh toan qu6c thi ghi ten thu6c theo ten da duqc Bt, thu6c d~ng cao va cac dc;t.ng thu6c khac; u L . www b) Thu tv ke dan thu6c tan duqc: Thu6c dling duemg tiem, duang u6ng, duang d~t, thu6c dling ngoai va cac duemg dling khac; c) Thu tv ke dan thu6c k~t hqp y hQc cb truySn v6i thu6c tan duqc: Ke thu6c tan duqc tru6c, thu6c y hQc cb truySn sau; d) Khi ke dan vi thu6c y hQc cb truySn c6 d9c tinh duqc ban hanh kern theo Thong tu s6 33/2012/TT-BYT ngay 28 thang 12 nam 2012 cua B9 tru&ng B9 Y tS ban hanh Danh ml,lc duqc li~u c6 d9c tinh su d\lllg lam thu6c tc;t.i Vi~t Nam phai duqc Giam d6c ho~c ngum duqc Giam d6c uy quySn quySt dinh. l>i~u 7. Quy djnh v~ thOi gian sfr dyng thuBc trong tnl, ngo~i tru ke dO'n di~u trj n{)i 1. Ke dan thu6c trong diSu tri ngoc;t.i tru a) B~nh mc;t.n tinh (b~nh diSu tri dai ngay): M6i lfrn ke dan thu6c s6luqng thu6c du dling t6i da 3 o ngay ho~c theo huang dilil disu tri cua m6i b~nh; b) Cac b~nh khac: MBi lcln ke dan thu6c v&i liSu du dling va khong qua 7 ngay; 4 .E>6i vm vimg sa.u, vimg xa, bien gim, hai dao, vimg co diSu ki~n kinh ts xa h9i kh6 khan ho~c d~c bi~t kh6 khan nai chua c6 bac si, y sy y hQc c6 truySn duqc ke dan di~U tri tf>i da 30 ngay Va chi ap d\ffig d6i v&i ke don thuf>c y hQC cf> truy~n. 2. Ke .d an thu6c trong di~u tri n()i tru a) B~nh cftp tinh: Thvc hi~n ke dan thu6c t6i thiSu hai lftn trong 7 ngay. b) B~nh m~n tinh: M6i lftn ke dan di~u tri v&i liSu du dung khong qua 1o ngay. 3. Ke dan c6 kSt hqp thu6c tan duqc thi thai gian su d1,mg thu6c tan duqc ap d1,mg theo quy djnh cua ke dan thu6c tan duqc. Di~u 8. M~u dO'n thuBc y h9c cB truy~n, dO'n thuBc k~t hgp thuBc y h<_>c cB truy~n v&i thuBc din drrgc · 1. .E>an thu6c thang ngo~i tru theo quy djnh t~i Ph\1 1\lc ban hanh kern theo Thong tu nay. 2. D6i v6i nguai b~nh diSu tri ngo~i tru rna c6 dan thu6c kSt hqp thu6c y h<:>c c6 truysn v&i thu6c tan ·duqc, phk ke dan thu6c tan duqc va thu6c thanh ph~m y hQc c6 truySn se thvc hi~n theo quy dinh v~ m~u dan thu6c ngo~i tru d6i v&i thu6c tan duqc. n v . am n t e i tV Ke .Lua w w w 3 . .E>6i v&i nguai b~nh diSu tri n()i tru ke dan thu6c trong h6 sa b~nh an theo cac quy dinh hi~n hanh. Di~u 9. dO'n thuBc cua co· s& kham b~nh, chfra b~nh co rrng dt}ng cong ngh~ thong tin trong ke dO'n thu&c dBi vm ke dO'n ngo~i tru 1. Dan thu6c ke tren may tinh 0 1 lftn, sau d6 in ra va ngum ke dan ky ten, tra cho nguai b~nh o1 ban ds Iuu trong s6 kham b~nh ho~c trong s6 disu tri b~nh cftn chua tri dai ngay cua nguai b~nh. 2. Ca sa kham b~nh, chua b~nh c6 tmg d\ffig cong ngh~ thong tin phai bfw dam vi~c luu dan dS truy xufit ho~c in ra lam dfr li~u khi c~n thiSt. Di~u 10. Hi~u ll}'c thi hanh Thong tu nay c6 hi~u Ivc thi hanh kS tu ngay 18 thang 02 nam 2016. Di~u 11. Di~u khmin tham chi~u Truang hqp cac van ban d~n chiSu trong Thong tu nay duqc thay thS ho~c sua d6i b6 sung thi ap d\lllg theo van ban da thay ths ho~c sua d6i, b6 sung do. Di~u 12. Trach nhi~m thi hanh Cac Ong, Ba: Chanh Van phong B(), C\lc truang Cvc Quan ly Y, Duqc c6 truySn, Cvc truang C\lc Quan ly Kham chua b~nh, Chanh Thanh tra B(), T6ng Cvc truang, C\lc truang, V\1 truang thu<)c B9 Y tS, Giam d6c b~nh vi~n, Vi~n c6 giuang b~nh tfl!c thu()c B9 Y tS, Giam d6c Sa Y tS tinh, thanh ph6 tflJc thu<)c Trung uang va Thu truang y tS nganh chiu trach nhi~m t6 chuc vi~c thvc hi~n Thong tu nay. 5 Trong qua trinh thvc hi~n n~u c6 kh6 khan, vu6ng m~c, d~ nghj cac ca quan, tb chuc, ca nhan phan anh kip thm v~ B() Y t~ (C\lc Quan ly Y, Duqc cb truySn) dS xem xet giai quy~t.!. NO'i nhljn: -Van phong Chinh phU (Cong bao, C6ng thOng tin di~n ru Chinh phu); - B() Tu phap (Cl,1c Ki€m tra van ban QPPL); - B9 tru6ng B9 Y t~ ( d~ bao cao); - Bao hi~m xa hQi Vi~t Nam; - Oic Thu tru6ng BQ Y t~; - Cac Vv, Cvc, T6ng eve, Van phOng BQ, Thanh tra B¢ thu()c B() Y t~; - SaY tBcac tinh, thfmh ph6 trvc thu9c trung uong; - Cac don vi trvc thu()c B9 Y tB; - Y tB cac B(), Nganh; - C6ng ThOng tin di~n tir B9 Y tB; - Luu: VT, PC, YDCT. . w ww n v . m a n t e i V t Lua 6 ~ PHVLVC (Ban himh kern theo Thong tu s6 Oi /20161 IT- BYT ngayo6thango_inam2J)ffpua B9 tru6ng B9 Y ti) Don vi (1) ······ON THUOC THANG NGO~I TRU MS: (2) HU'ONG DAN PIDJ UJC .. ......... ........ Tu6i (3) ............ nam/nu .. ... . ..... ..... ................ .......... ............ .. ... .. I.......... I I... .. ....... .. ............... ........ , , phiD BHYTI TT 1gay Ten vi thuoc YHCT So thang den ngay DVT So lu<;m.g Ghi chu I 1. Ghi ten C(J sa kham b~nh, chua b~nh 2. Ghi rna s6 dan thu6c 3. Tu6i: Ghi tu6i cua nguai b~nh, v6i tre < 72 thang tu6i ghi s6 thang tu6i; 4. Dia chi thuang tru 5. M\lc d6i tu<;m.g: Vi~n phi, BHYT nSu BN BHYT ghi sf> the 6. Ml,lc ch~n doan:, Ch~n doan theo YHCT, chk doan theo YHIID 7. N guai ke don: kY, ghi ro h9 ten, dong d~u dan vi kham benh· . ' 8. Tru

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