ÃÎÑÓÄÀÐÑÒÂÅÍÍÛÉ ÊÎÌÈÒÅÒ
ÐÎÑÑÈÉÑÊÎÉ ÔÅÄÅÐÀÖÈÈ
ÏÎ ÑÒÀÒÈÑÒÈÊÅ
ÏÎÑÒÀÍÎÂËÅÍÈÅ
30 àâãóñòà 2002 ã.
N 170à
ÎÁ ÓÒÂÅÐÆÄÅÍÈÈ ÔÎÐÌ ÔÅÄÅÐÀËÜÍÎÃÎ
ÃÎÑÓÄÀÐÑÒÂÅÍÍÎÃÎ
ÑÒÀÒÈÑÒÈ×ÅÑÊÎÃÎ ÍÀÁËÞÄÅÍÈß ÇÀ
ÁÅÑÏÐÈÇÎÐÍÛÌÈ
È ÁÅÇÍÀÄÇÎÐÍÛÌÈ
ÍÅÑÎÂÅÐØÅÍÍÎËÅÒÍÈÌÈ
Âî èñïîëíåíèå Ïîñòàíîâëåíèÿ
Ïðàâèòåëüñòâà Ðîññèéñêîé Ôåäåðàöèè
îò 13 ìàðòà 2002 ã. N 154 "Î äîïîëíèòåëüíûõ ìåðàõ ïî
óñèëåíèþ
ïðîôèëàêòèêè áåñïðèçîðíîñòè è
áåçíàäçîðíîñòè íåñîâåðøåííîëåòíèõ íà
2002
ãîä" Ãîñóäàðñòâåííûé êîìèòåò
Ðîññèéñêîé Ôåäåðàöèè ïî
ñòàòèñòèêå ïîñòàíîâëÿåò:
1. Óòâåðäèòü ïî ïðåäñòàâëåíèþ Ìèíèñòåðñòâà
òðóäà è ñîöèàëüíîãî
ðàçâèòèÿ
Ðîññèéñêîé Ôåäåðàöèè, Ìèíèñòåðñòâà âíóòðåííèõ äåë
Ðîññèéñêîé
Ôåäåðàöèè è Ìèíèñòåðñòâà çäðàâîîõðàíåíèÿ Ðîññèéñêîé
Ôåäåðàöèè
ïðèëàãàåìûå ôîðìû ôåäåðàëüíîãî ãîñóäàðñòâåííîãî
ñòàòèñòè÷åñêîãî íàáëþäåíèÿ äëÿ ñáîðà è îáðàáîòêè ñòàòèñòè÷åñêîé
èíôîðìàöèè â ñèñòåìå óêàçàííûõ ìèíèñòåðñòâ
è ââåñòè èõ â äåéñòâèå:
ãîäîâûå ñ îò÷åòà çà 2002 ãîä:
N 1-ÄÅÒÈ (ñîö) <*> "Ñâåäåíèÿ î ÷èñëåííîñòè
áåñïðèçîðíûõ è
áåçíàäçîðíûõ íåñîâåðøåííîëåòíèõ, ïîìåùåííûõ â ñïåöèàëèçèðîâàííûå
ó÷ðåæäåíèÿ äëÿ
íåñîâåðøåííîëåòíèõ,
íóæäàþùèõñÿ â ñîöèàëüíîé
ðåàáèëèòàöèè";
N 1-ÄÅÒÈ (çäðàâ)
"Ñâåäåíèÿ î ÷èñëåííîñòè
áåñïðèçîðíûõ è
áåçíàäçîðíûõ íåñîâåðøåííîëåòíèõ,
ïîìåùåííûõ â ëå÷åáíî
-
ïðîôèëàêòè÷åñêèå ó÷ðåæäåíèÿ";
ïîëóãîäîâóþ, ãîäîâóþ ñ îò÷åòà çà II
ïîëóãîäèå 2002 ãîäà:
N 1-ÄÅÒÈ (ÌÂÄ) <*> "Ñâåäåíèÿ î ÷èñëåííîñòè áåñïðèçîðíûõ è
áåçíàäçîðíûõ íåñîâåðøåííîëåòíèõ,
íàõîäÿùèõñÿ â ó÷ðåæäåíèÿõ
âðåìåííîé èçîëÿöèè äëÿ íåñîâåðøåííîëåòíèõ
ïðàâîíàðóøèòåëåé îðãàíîâ
âíóòðåííèõ äåë".
2. Óñòàíîâèòü ïðåäñòàâëåíèå
ãîñóäàðñòâåííîé ñòàòèñòè÷åñêîé
îò÷åòíîñòè
ïî óêàçàííûì â ï. 1
íàñòîÿùåãî Ïîñòàíîâëåíèÿ ôîðìàì
ôåäåðàëüíîãî ãîñóäàðñòâåííîãî
ñòàòèñòè÷åñêîãî íàáëþäåíèÿ â àäðåñà
è ñðîêè, óñòàíîâëåííûå â ôîðìàõ:
N 1-ÄÅÒÈ (ñîö) <*> -
þðèäè÷åñêèìè ëèöàìè, èõ îáîñîáëåííûìè
ïîäðàçäåëåíèÿìè -
ñïåöèàëèçèðîâàííûìè
ó÷ðåæäåíèÿìè äëÿ
íåñîâåðøåííîëåòíèõ, íóæäàþùèõñÿ â ñîöèàëüíîé
ðåàáèëèòàöèè;
N 1-ÄÅÒÈ (çäðàâ) - þðèäè÷åñêèìè ëèöàìè, èõ îáîñîáëåííûìè
ïîäðàçäåëåíèÿìè - ëå÷åáíî -
ïðîôèëàêòè÷åñêèìè ó÷ðåæäåíèÿìè,
èìåþùèìè ñòàöèîíàðû, îêàçûâàþùèìè ïîìîùü
äåòÿì;
N 1-äåòè (ÌÂÄ) <*> - þðèäè÷åñêèìè ëèöàìè,
èõ îáîñîáëåííûìè
ïîäðàçäåëåíèÿìè - ó÷ðåæäåíèÿìè âðåìåííîé èçîëÿöèè äëÿ
íåñîâåðøåííîëåòíèõ ïðàâîíàðóøèòåëåé.
--------------------------------
<*> Íå ïðèâîäèòñÿ.
Ïðåäñåäàòåëü
Ãîñêîìñòàòà Ðîññèè
Â.Ë.ÑÎÊÎËÈÍ
---------------------------------------------------------
| ÔÅÄÅÐÀËÜÍÎÅ ÃÎÑÓÄÀÐÑÒÂÅÍÍÎÅ
ÑÒÀÒÈÑÒÈ×ÅÑÊÎÅ ÍÀÁËÞÄÅÍÈÅ |
|-------------------------------------------------------|
|ÊÎÍÔÈÄÅÍÖÈÀËÜÍÎÑÒÜ ÃÀÐÀÍÒÈÐÓÅÒÑß
ÏÎËÓ×ÀÒÅËÅÌ ÈÍÔÎÐÌÀÖÈÈ|
---------------------------------------------------------
--------------------------------------------------------------
|Íàðóøåíèå ïîðÿäêà ïðåäñòàâëåíèÿ
ñòàòèñòè÷åñêîé èíôîðìàöèè, à|
|ðàâíî ïðåäñòàâëåíèå íåäîñòîâåðíîé
ñòàòèñòè÷åñêîé èíôîðìàöèè |
|âëå÷åò îòâåòñòâåííîñòü, óñòàíîâëåííóþ
ñòàòüåé 13.19 Êîäåêñà |
|Ðîññèéñêîé Ôåäåðàöèè îá àäìèíèñòðàòèâíûõ
ïðàâîíàðóøåíèÿõ îò |
|
30.12.2001 N 195-ÔÇ, à òàêæå ñòàòüåé 3 Çàêîíà Ðîññèéñêîé |
|
Ôåäåðàöèè îò 13.05.92 N 2761-1 "Îá îòâåòñòâåííîñòè çà |
|
íàðóøåíèå ïîðÿäêà ïðåäñòàâëåíèÿ ãîñóäàðñòâåííîé |
| ñòàòèñòè÷åñêîé îò÷åòíîñòè" |
--------------------------------------------------------------
----------------------------------------------------
|ÑÂÅÄÅÍÈß Î ×ÈÑËÅÍÍÎÑÒÈ ÁÅÑÏÐÈÇÎÐÍÛÕ
È ÁÅÇÍÀÄÇÎÐÍÛÕ|
| ÍÅÑÎÂÅÐØÅÍÍÎËÅÒÍÈÕ, ÏÎÌÅÙÅÍÍÛÕ Â ËÅ×ÅÁÍÎ - |
| ÏÐÎÔÈËÀÊÒÈ×ÅÑÊÈÅ Ó×ÐÅÆÄÅÍÈß |
| çà 20__ ãîä |
----------------------------------------------------
---------------------------------------- ------------------------
|
Ïðåäñòàâëÿþò: |Ñðîêè |
|Ôîðìà N 1-ÄÅÒÈ (çäðàâ)|
| |ïðåäñòàâ-| ------------------------
| |ëåíèÿ |
|----------------------------+---------| Óòâåðæäåíà
|þðèäè÷åñêèå ëèöà, èõ îáîñîá-|15
ÿíâàðÿ| Ïîñòàíîâëåíèåì
|ëåííûå ïîäðàçäåëåíèÿ - ëå- |
| Ãîñêîìñòàòà Ðîññèè
|÷åáíî - ïðîôèëàêòè÷åñêèå ó÷-| | îò 30 àâãóñòà 2002 ã. N 170à
|ðåæäåíèÿ, èìåþùèå ñòàöèîíà- | |
|ðû, îêàçûâàþùèå ïîìîùü äå- |
| ---------
|òÿì: |
| |Ãîäîâàÿ|
| -
öåíòðàëüíîé ðàéîííîé | | ---------
|ãîðîäñêîé) áîëüíèöå | |
|(ðàé(ãîð)çäðàâîòäåëó) | |
|öåíòðàëüíàÿ ðàéîííàÿ (ãîðîä-|25 ÿíâàðÿ|
|ñêàÿ) áîëüíèöà | |
|(ðàé(ãîð)çäðàâîòäåë) ñâîäíûé| |
|îò÷åò è îò÷åòû ïî êàæäîìó |
|
|ó÷ðåæäåíèþ: | |
| -
îðãàíó óïðàâëåíèÿ çäðà- | |
|âîîõðàíåíèåì ñóáúåêòà Ðîñ- |
|
|ñèéñêîé Ôåäåðàöèè | |
|îðãàí óïðàâëåíèÿ çäðàâîîõðà-|1 ôåâðàëÿ|
|íåíèåì ñóáúåêòà Ðîññèéñêîé |
|
|Ôåäåðàöèè: |
|
| -
Ìèíçäðàâó Ðîññèè | |
|Ìèíçäðàâ Ðîññèè |25 ìàðòà |
| -
Ãîñêîìñòàòó Ðîññèè | |
----------------------------------------
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|Íàèìåíîâàíèå îò÷èòûâàþùåéñÿ îðãàíèçàöèè
________________________|
|----------------------------------------------------------------|
|Ïî÷òîâûé àäðåñ
_________________________________________________|
|----------------------------------------------------------------|
|
Êîä | Êîä |
| ôîðìû
|--------------------------------------------------------|
|ïî ÎÊÓÄ|îò÷èòû-|âèäà |îòðàñ-|òåððè-|ìèíèñòåð-|îðãàíè-|ôîðìû
| |
|
|âàþùåé-|äåÿ- |ëè ïî |òîðèè |ñòâà (âå-|çàöèîí-|ñîáñò-| |
|
|ñÿ îð- |òåëü-| ÎÊÎÍÕ| ïî
|äîìñòâà),|íî - |âåí- | |
|
|ãàíèçà-|íîñòè| |ÎÊÀÒÎ
|îðãàíà |ïðàâî- |íîñòè | |
|
|öèè ïî |ïî | |
|óïðàâëå- |âîé |ïî |
|
|
|ÎÊÏÎ |ÎÊÂÝÄ| |
|íèÿ ïî |ôîðìû |ÎÊÔÑ
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|
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| |ÎÊÎÃÓ |ïî
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|
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| | |ÎÊÎÏÔ | | |
|-------+-------+-----+------+------+---------+-------+------+---|
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|0609330| | | |
| | |
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Ðàçäåë 1. Âîçðàñòíî - ïîëîâîé
ñîñòàâ áåñïðèçîðíûõ
è áåçíàäçîðíûõ íåñîâåðøåííîëåòíèõ,
íàõîäèâøèõñÿ
â ëå÷åáíî - ïðîôèëàêòè÷åñêîì
ó÷ðåæäåíèè,
ïî ñîñòîÿíèþ íà 1 ÿíâàðÿ
20__ ãîäà
Êîä
ïî ÎÊÅÈ: ÷åëîâåê - 792
------------------------------------------------------------------
|
Íàèìåíîâàíèå ïîêàçàòåëåé
| N |Âñåãî|  òîì ÷èñëå: |
| |ñòðîêè| |----------------|
| | |
|äåâî÷êè|ìàëü÷èêè|
|----------------------------------+------+-----+-------+--------|
| 1
| 2 | 3 |
4 | 5 |
|----------------------------------+------+-----+-------+--------|
|×èñëåííîñòü áåñïðèçîðíûõ è |
| | | |
|áåçíàäçîðíûõ íåñîâåðøåííîëåòíèõ, |
| | | |
|íàõîäèâøèõñÿ â ëå÷åáíî - ïðîôè- |
| | | |
|ëàêòè÷åñêîì ó÷ðåæäåíèè, - âñåãî |
| | | |
|(ñóììà ñòðîê 02 - 19) | 01 | |
| |
|----------------------------------+------+-----+-------+--------|
|â òîì ÷èñëå â âîçðàñòå (÷èñëî èñ- | |
| | |
|ïîëíèâøèõñÿ ëåò íà îò÷åòíóþ äàòó) | |
| | |
|----------------------------------+------+-----+-------+--------|
|
äî 1 ãîäà | 02 | |
| |
|----------------------------------+------+-----+-------+--------|
| 1 ãîä
| 03 | | | |
|----------------------------------+------+-----+-------+--------|
| 2 ãîäà
| 04 | | | |
|----------------------------------+------+-----+-------+--------|
| 3 ãîäà
| 05 | | | |
|----------------------------------+------+-----+-------+--------|
| 4 ãîäà
| 06 | | | |
|----------------------------------+------+-----+-------+--------|
| 5 ëåò
| 07 | | | |
|----------------------------------+------+-----+-------+--------|
| 6 ëåò
| 08 | | | |
|----------------------------------+------+-----+-------+--------|
| 7 ëåò
| 09 | | | |
|----------------------------------+------+-----+-------+--------|
| 8 ëåò
| 10 | | | |
|----------------------------------+------+-----+-------+--------|
| 9 ëåò
| 11 | | | |
|----------------------------------+------+-----+-------+--------|
| 10 ëåò
| 12 | | | |
|----------------------------------+------+-----+-------+--------|
| 11 ëåò
| 13 | | | |
|----------------------------------+------+-----+-------+--------|
| 12 ëåò
| 14 | | | |
|----------------------------------+------+-----+-------+--------|
| 13 ëåò
| 15 | | | |
|----------------------------------+------+-----+-------+--------|
| 14 ëåò
| 16 | | | |
|----------------------------------+------+-----+-------+--------|
| 15 ëåò
| 17 | | | |
|----------------------------------+------+-----+-------+--------|
| 16 ëåò
| 18 | | |
|
|----------------------------------+------+-----+-------+--------|
| 17 ëåò
| 19 | | | |
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Ðàçäåë 2. Ñâåäåíèÿ î áåñïðèçîðíûõ
è áåçíàäçîðíûõ
íåñîâåðøåííîëåòíèõ, äîñòàâëåííûõ
â ëå÷åáíî -
ïðîôèëàêòè÷åñêîå
ó÷ðåæäåíèå
Êîä
ïî ÎÊÅÈ: ÷åëîâåê - 792
------------------------------------------------------------------
|
Íàèìåíîâàíèå ïîêàçàòåëåé |N
ñòðîêè| Çà 20__ ãîä |
|----------------------------------+--------+--------------------|
| 1
| 2 | 3 |
|----------------------------------+--------+--------------------|
|×èñëåííîñòü áåñïðèçîðíûõ è áåç- |
| |
|íàäçîðíûõ íåñîâåðøåííîëåòíèõ, |
| |
|äîñòàâëåííûõ â ëå÷åáíîå ó÷ðåæäå- |
| |
|íèå, - âñåãî (ñóììà ñòðîê 21 - 23)| 20
| |
|----------------------------------+--------+--------------------|
|
â òîì ÷èñëå:
| | |
|----------------------------------+--------+--------------------|
| ñîòðóäíèêàìè îðãàíîâ âíóòðåííèõ |
| |
| äåë |
21 | |
|----------------------------------+--------+--------------------|
| ãðàæäàíàìè | 22 | |
|----------------------------------+--------+--------------------|
| ñàìîñòîÿòåëüíî îáðàòèëèñü |
23 | |
|----------------------------------+--------+--------------------|
|Èç îáùåãî ÷èñëà äîñòàâëåííûõ |
| |
|(îáðàòèâøèõñÿ) (èç ñòð. 20): |
| |
|----------------------------------+--------+--------------------|
|
îñìîòðåíî âðà÷àìè:
| | |
|----------------------------------+--------+--------------------|
| ïåäèàòðîì |
24 | |
|----------------------------------+--------+--------------------|
| ïñèõèàòðîì |
25 | |
|----------------------------------+--------+--------------------|
| äåðìàòîëîãîì |
26 | |
|----------------------------------+--------+--------------------|
|
ïñèõîíàðêîëîãîì | 27
| |
|----------------------------------+--------+--------------------|
| ãèíåêîëîãîì |
28 | |
|----------------------------------+--------+--------------------|
|
ãîñïèòàëèçèðîâàíî
| 29 | |
|----------------------------------+--------+--------------------|
|
îòêàçàíî â ãîñïèòàëèçàöèè
| 30 | |
|----------------------------------+--------+--------------------|
|Èç ÷èñëà ãîñïèòàëèçèðîâàííûõ |
| |
|(ñóììà ñòðîê 31 - 38) âûáûëî: |
| |
|----------------------------------+--------+--------------------|
| ïåðåäàíî ðîäèòåëÿì èëè çàêîííûì |
| |
| ïðåäñòàâèòåëÿì |
31 | |
|----------------------------------+--------+--------------------|
| â ó÷ðåæäåíèÿ ñîöèàëüíîé çàùèòû |
| |
| íàñåëåíèÿ |
32 | |
|----------------------------------+--------+--------------------|
| â ó÷ðåæäåíèÿ ñèñòåìû îáðàçîâàíèÿ | 33
| |
|----------------------------------+--------+--------------------|
| â ó÷ðåæäåíèÿ ñèñòåìû çäðàâîîõ- |
| |
| ðàíåíèÿ (äîìà ðåáåíêà) |
34 | |
|----------------------------------+--------+--------------------|
| â ó÷ðåæäåíèÿ âðåìåííîãî ñîäåð- |
| |
| æàíèÿ íåñîâåðøåííîëåòíèõ ÌÂÄ |
| |
| Ðîññèè |
35 | |
|----------------------------------+--------+--------------------|
| ñàìîâîëüíî ïîêèíóëè ó÷ðåæäåíèå |
36 | |
|----------------------------------+--------+--------------------|
| óìåðëî |
37 | |
|----------------------------------+--------+--------------------|
| ïðî÷åå |
38 | |
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Ðàçäåë 3. Ðàñïðåäåëåíèå
÷èñëåííîñòè áåñïðèçîðíûõ
è áåçíàäçîðíûõ íåñîâåðøåííîëåòíèõ ïî
âîçðàñòíûì ãðóïïàì
è ïðè÷èíàì ïîìåùåíèÿ â ëå÷åáíîå
ó÷ðåæäåíèå
çà 20__ ãîä
Êîä
ïî ÎÊÅÈ: ÷åëîâåê - 792
------------------------------------------------------------------
|Íàèìåíîâàíèå ïîêàçàòåëåé| N
|Âñåãî|  òîì ÷èñëå â âîçðàñòå |
| |ñòðîêè| | (÷èñëî èñïîëíèâøèõñÿ ëåò |
| |
| | íà êîíåö îò÷åòíîãî
ãîäà):|
| |
|
|--------------------------|
| |
| |äî 1|1 - 3| 4 - 6 |7 - 17
|
| |
| |ãîäà| |
| |
|------------------------+------+-----+----+-----+-------+-------|
| 1
| 2 | 3 | 4
| 5
| 6 | 7 |
|------------------------+------+-----+----+-----+-------+-------|
|×èñëåííîñòü áåñïðèçîðíûõ| |
| | | | |
|è áåçíàäçîðíûõ íåñîâåð- | |
| | | | |
|øåííîëåòíèõ - âñåãî |
| | | | |
|
|(ñóììà ñòðîê 40 - 42) |
39 | | | |
| |
|------------------------+------+-----+----+-----+-------+-------|
|
â òîì ÷èñëå: | |
| | | | |
|------------------------+------+-----+----+-----+-------+-------|
| èçúÿòûõ èç ñåìåé ïî ðå-| |
| | | | |
| øåíèþ ñóäà | 40 |
| | | | |
|------------------------+------+-----+----+-----+-------+-------|
| èçúÿòûõ èç ñåìåé áåç |
| | | | |
|
| ðåøåíèÿ ñóäà | 41 |
| | | | |
|------------------------+------+-----+----+-----+-------+-------|
| ïîìåùåííûõ ïî äðóãèì |
| | | | |
|
| ïðè÷èíàì | 42 |
| | | | |
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Ðàçäåë 4. Ñâåäåíèÿ î
çàáîëåâàåìîñòè
áåñïðèçîðíûõ è áåçíàäçîðíûõ
íåñîâåðøåííîëåòíèõ,
ïîìåùåííûõ â ëå÷åáíîå
ó÷ðåæäåíèå,
çà 20__ ãîä
Êîä ïî ÎÊÅÈ: åäèíèöà - 642
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|Íàèìåíîâàíèå çàáîëåâàíèÿ| N |
Êîä ïî ÌÊÁ-10 |Çàðåãèñòðèðîâàíî|
| |ñòðîêè| |
çàáîëåâàíèé |
|------------------------+------+---------------+----------------|
| 1
| 2 | 3 | 4 |
|------------------------+------+---------------+----------------|
|Âñåãî (ñóììà ñòðîê 44 - | | | |
|53, 55 - 72) | 43 |A00 - T98 | |
|------------------------+------+---------------+----------------|
|â òîì ÷èñëå íåêîòîðûå |
| | |
|èíôåêöèîííûå è ïàðàçè- |
| | |
|òàðíûå áîëåçíè | |A00 -
B99 | |
|------------------------+------+---------------+----------------|
|
èç íèõ: | | |
|
|------------------------+------+---------------+----------------|
| âèðóñíûé ãåïàòèò |
44 |B15 - B19 | |
|------------------------+------+---------------+----------------|
| ïåäèêóëåç è ôòèðèàç |
45 |B85 | |
|------------------------+------+---------------+----------------|
| ÷åñîòêà | 46 |B86 |
|
|------------------------+------+---------------+----------------|
| ÂÈ×-èíôåêöèÿ | 47 |B20 - B24 | |
|------------------------+------+---------------+----------------|
| òóáåðêóëåç îðãàíîâ äû- | | |
|
| õàíèÿ | 48 |A15, A16, A19 | |
|------------------------+------+---------------+----------------|
| ñèôèëèñ | 49 |A50 - A53 | |
|------------------------+------+---------------+----------------|
| ãîíîðåÿ | 50 |A54 | |
|------------------------+------+---------------+----------------|
| íîâîîáðàçîâàíèå | 51 |C00 - D48 | |
|------------------------+------+---------------+----------------|
| áîëåçíè êðîâè, êðîâåò- | | |
|
| âîðíûõ îðãàíîâ è îò- |
| | |
| äåëüíûå íàðóøåíèÿ, âî- | | |
|
| âëåêàþùèå èììóííûå ìå- | | |
|
| õàíèçìû | 52 |D50 - D89 | |
|------------------------+------+---------------+----------------|
| áîëåçíè ýíäîêðèííîé |
| | |
| ñèñòåìû, ðàññòðîéñòâî |
| | |
| ïèòàíèÿ è íàðóøåíèå îá-| | |
|
| ìåíà âåùåñòâ | 53 |E00 - E90 | |
|------------------------+------+---------------+----------------|
|
èç íèõ ñàõàðíûé äèàáåò| 54 |E10 - E14 | |
|------------------------+------+---------------+----------------|
| ïñèõè÷åñêèå ðàññòðîéñò-| | |
|
| âà è ðàññòðîéñòâà ïîâå-| | |
|
| äåíèÿ | 55 |F00 - F99 | |
|------------------------+------+---------------+----------------|
| íàðêîìàíèè | 56 |F11.2 - 9 - | |
| |
|F16.(2 - 9)H, | |
| |
|F18.(2 - 9)H, | |
| |
|F19.(2 - 9)H | |
|------------------------+------+---------------+----------------|
| òîêñèêîìàíèè | 57 |F13.2 - 9.T, | |
| |
|F15(2 - 9).T - |
|
| |
|F19.(2 - 9)T | |
|------------------------+------+---------------+----------------|
| õðîíè÷åñêèé àëêîãîëèçì | 58
|F10.2, 3, 8, 9 |
|
|------------------------+------+---------------+----------------|
| áîëåçíè íåðâíîé ñèñòåìû| 59
|G00 - G99 | |
|------------------------+------+---------------+----------------|
| áîëåçíè ãëàçà è åãî |
| | |
| ïðèäàòî÷íîãî àïïàðàòà |
60 |H00 - H59 | |
|------------------------+------+---------------+----------------|
| áîëåçíè óõà è åãî ñîñ- | | |
|
| öåâèäíîãî îòðîñòêà |
61 |H60 - H95 | |
|------------------------+------+---------------+----------------|
| áîëåçíè ñèñòåìû êðîâî- | | |
|
| îáðàùåíèÿ | 62 |J00 - J99 | |
|------------------------+------+---------------+----------------|
| áîëåçíè îðãàíîâ äûõàíèÿ| 63
|J00 - J99 | |
|------------------------+------+---------------+----------------|
| áîëåçíè îðãàíîâ ïèùåâà-| | |
|
| ðåíèÿ | 64 |K00 - K93 | |
|------------------------+------+---------------+----------------|
| áîëåçíè êîæè è ïîäêîæ- | | |
|
| íîé êëåò÷àòêè | 65 |L00 - L99 | |
|------------------------+------+---------------+----------------|
| áîëåçíè êîñòíîé ñèñòåìû| | |
|
| è ñîåäèíèòåëüíîé òêàíè | 66
|M00 - M99 | |
|------------------------+------+---------------+----------------|
| áîëåçíè ìî÷åïîëîâîé |
| | |
| ñèñòåìû | 67 |N00 - N99 | |
|------------------------+------+---------------+----------------|
| áåðåìåííîñòü, ðîäû è |
| | |
| ïîñëåðîäîâîé ïåðèîä |
68 |O00 - O99 | |
|------------------------+------+---------------+----------------|
| îòäåëüíûå ñîñòîÿíèÿ, |
| | |
| âîçíèêàþùèå â ïåðèíà- |
| | |
| òàëüíîì ïåðèîäå | 69 |P00 - P96 | |
|------------------------+------+---------------+----------------|
| âðîæäåííûå àíîìàëèè, |
| | |
| ïîðîêè ðàçâèòèÿ, äå- |
| | |
| ôåêòû è õðîìîñîìíûå |
| | |
| íàðóøåíèÿ | 70 |Q00 - Q99 | |
|------------------------+------+---------------+----------------|
| ñèìïòîìû, ïðèçíàêè è |
| | |
| îòêëîíåíèÿ îò íîðìû, |
| | |
| âûÿâëåííûå ïðè êëèíè- |
| | |
| ÷åñêèõ è ëàáîðàòîðíûõ |
| | |
| èññëåäîâàíèÿõ, íå êëàñ-| | |
|
| ñèôèöèðîâàííûå â ðóáðè-| | |
|
| êàõ |
71 |R00 - R99 | |
|------------------------+------+---------------+----------------|
| òðàâìû, îòðàâëåíèÿ è |
| | |
| íåêîòîðûå äðóãèå ïîñ- |
| | |
| ëåäñòâèÿ âîçäåéñòâèÿ |
| | |
| âíåøíèõ ïðè÷èí | 72 |S00 - T99 | |
|------------------------+------+---------------+----------------|
|Êðîìå òîãî, ôàêòîðû, |
| | |
|âëèÿþùèå íà ñîñòîÿíèå |
| | |
|çäîðîâüÿ è îáðàùåíèÿ â |
| | |
|ó÷ðåæäåíèÿ çäðàâîîõðàíå-| | |
|
|íèÿ |
73 |Z00 - Z99 | |
|------------------------+------+---------------+----------------|
|
èç íèõ íîñèòåëè èí- | |
| |
|
ôåêöèîííûõ çàáîëåâà- | | |
|
|
íèé | 74
|Z22 | |
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Ðóêîâîäèòåëü
îðãàíèçàöèè ______________________
______________________
(Ô.È.Î.) (ïîäïèñü)
Äîëæíîñòíîå ëèöî,
îòâåòñòâåííîå çà
ñîñòàâëåíèå ôîðìû ________________
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