Registered with the Russian Ministry of Justice on March 6, 2013 N 27540
MINISTRY OF HEALTH OF THE RUSSIAN FEDERATION
ORDER
on December 24, 2012 N 1551n
ON APPROVAL OF THE STANDARD
PRIMARY HEALTH CARE ANTIMIGRAINE
(Prophylactic treatment)
In accordance with Article 37 of the Federal Law dated November 21, 2011 N 323-FZ "On the basis of public health protection in the Russian Federation" (Collected Legislation of the Russian Federation, 2011, N 48, Art. 6724; 2012, N 26, Art. 3442, 3446), hereby:
Approve the primary health care standard in migraine (Prophylactic treatment) according to the application.
Minister
V.I.SKVORTSOVA
application
to the order of the Ministry of Health
Russian Federation
on December 24, 2012 N 1551n
STANDARD
PRIMARY HEALTH CARE ANTIMIGRAINE
(Prophylactic treatment)
Age category: adults
Gender: any
Phase: diagnosis and treatment (prophylaxis)
Step: moderate and severe (grade 3 and 4 maladjustment scale MIDAS or HALT)
Complications: no complications
Kind of care: primary health care
Terms of care: outpatient
The form of care: routine
The average time of treatment (days): 365
ICD code X and disease entities
G43.0 Migraine without aura (simple migraine)
G43.1 Migraine with aura (classic migraine)
1. Medical interventions to diagnose the disease, condition,
| Reception (examination, consultation), a specialist doctor | |||
| Code of medical services | Name of medical services | The average incidence rate of <1> | The average index of the multiplicity of application |
| B01.015.001 | Receiving (examination, consultation) vracha primary cardiologist | 0,2 | 1 |
| B01.023.001 | Receiving (examination, consultation) vracha primary neurologist | 1 | 1 |
| B01.028.001 | Receiving (examination, consultation) vracha primary otorinolaringologa | 0,2 | 1 |
| B01.029.001 | Receiving (examination, consultation) vracha primary ophthalmologist | 0,25 | 1 |
| B01.047.001 | Receiving (viewing, consulting) physician primary vracha | 0,2 | 1 |
| B01.058.001 | Receiving (examination, consultation) vracha primary endocrinologist | 0,2 | 1 |
<1> The probability of medical services or prescribing for medical applications (medical devices) included in the standard of care that can take values from 0 to 1, where 1 indicates that the event is held 100% Patients who met the model and the figures at least 1 - specified in the standard of care the percentage of patients with appropriate medical indications.
| Instrumental methods of research | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| A05.23.001 | Electroencephalography | 0,1 | 1 |
| A05.30.008 | Magnetic resonance imaging of the neck | 0,2 | 1 |
| A05.30.010 | Magnetic resonance imaging of the head | 0,2 | 1 |
| A06.03.002 | Computed tomography of the head | 0,2 | 1 |
| A06.03.005 | X-ray of the entire skull in one or more projections | 0,1 | 1 |
| A06.03.011 | Radiography shejno dorsal spine | 0,05 | 1 |
| A06.03.013 | X-ray of the dorsal spine | 0,2 | 1 |
| A06.30.002.001 | Description and interpretation of CT scans | 1 | 1 |
| A06.30.002.002 | Description and interpretation of MRI scans | 1 | 1 |
2. Medical services for the treatment of diseases, conditions and monitor treatment
| Reception (examination, consultation) and specialist doctor supervision | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| B01.015.002 | Reception (examination, consultation) vracha cardiologist re | 0,1 | 1 |
| B01.023.002 | Reception (examination, consultation) vracha neurologist repeated | 1 | 2 |
| B01.028.002 | Reception (examination, consultation) vracha otolaryngologist re | 0,1 | 1 |
| B01.029.002 | Reception (examination, consultation) vracha ophthalmologist re | 0,25 | 1 |
| B01.047.002 | Reception (examination, consultation) vracha therapist re | 0,1 | 1 |
| B01.058.002 | Reception (examination, consultation) vracha endocrinologist re | 0,1 | 1 |
| Drug-free methods of prevention, treatment and medical rehabilitation | |||
| Code of medical services | Name of medical services | The average rate of frequency | The average index of the multiplicity of application |
| A13.29.008 | Psychotherapy | 0,25 | 10 |
| A19.23.002 | Exercise therapy in diseases of the central nervous system and brain | 1 | 10 |
3. The list of drugs for medical use, registered on the territory of the Russian Federation, with an indication of the mean daily dose courses
| The code | Terapevtichesko- anatomical chemical classification | Name of the drug | The average rate of frequency | Units | MIC | SKD |
| C07AA | Non-selective beta-blockers | 0,5 | ||||
| propranolol | mg | 80 | 29200 | |||
| C07AB | Selective beta-blockers | 0,5 | ||||
| metoprolol | mg | 100 | 36500 | |||
| atenolol | mg | 100 | 36500 | |||
| N03AG | Derivatives of fatty acids | 0,5 | ||||
| valproic acid | mg | 1000 | 365000 | |||
| N03AX | Other antiepileptic drugs | 0,5 | ||||
| topiramate | mg | 100 | 36500 | |||
| N06AA | Non-selective monoamine reuptake inhibitors | 0,05 | ||||
| amitriptyline | mg | 50 | 18250 |
The International Statistical Classification of Diseases and Related Health, the X revision.
International nonproprietary or chemical name of the drug, and in their absence - the trade name of the drug.
The average daily dose.
Average course dose.
Remarks:
1. Medicinal products for medical use, registered on the territory of the Russian Federation shall be appointed in accordance with the instructions for use of the drug for medical use and for pharmacotherapeutic group Anatomical Therapeutic Chemical Classification System, recommended by the World Health Organization, as well as the route of administration and application of the drug.
2. Purpose and use of drugs for medical use, medical devices and specialized clinical nutrition products, non-standard medical care, allowed in the case of medical indications (individual intolerance, for health reasons) by the decision of the medical commission (Part 5 of Article 37 of the Federal Law dated 21.11.2011 N 323-FZ "On the basis of public health protection in the Russian Federation" (Collected Legislation of the Russian Federation, 28.11.2011, N 48, Art. 6724; 25.06.2012, N 26, p. 3442)).
3. Citizens, who in accordance with the Federal Law of 17.07.1999 N 178-FZ "On state social assistance" (Collection of the Russian Federation, 1999, N 29, Art. 3699; 2004, N 35, Art. 3607; 2006, N 48, Art. 4945; 2007, N 43, Art. 5084; 2008, N 9, Art. 817; 2008, N 29, Art. 3410; N 52, p. 6224; 2009, N 18, Art. 2152; N 30, p. 3739; N 52, p. 6417; 2010, N 50, p. 6603; 2011, N 27, Art. 3880; 2012, N 31, Art. 4322) the right to receive state social assistance in the form of social services, with outpatient medical care provided drugs drugs for medical use, included in the list of drugs, including the list of medicines prescribed by the decision of the medical commission health care institutions, provision of which is carried out in accordance with medical aid on prescription standards in the provision of state (paramedic) social assistance in the form of social services, approved by Order of the Russian Federation Ministry of Health and Social Development of 18.09.2006 N 665 (registered Ministry of Justice of 27.09.2006, registration N 8322), as amended by the orders of the Ministry of Health and Social Development Federation dated 19.10.2007 N 651 (registered by Ministry of Justice of the Russian Federation of 19.10.2007, registration N 10367), from 27.08.2008 N 451n (registered by the Ministry of Justice Russian Federation 10.09.2008, registration N 12254), from 01.12.2008 N 690n (registered by Ministry of Justice of the Russian Federation of 22.12.2008, registration N 12917), from 23.12.2008 N 760n (registered by Ministry of Justice of the Russian Federation of 28.01.2009, registration N 13195) and from 10.11.2011 N 1340n (registered by the Ministry of Justice Russian Federation 23.11.2011, registration N 22368).