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BO GIAO THONG VAN TAl CVCYTE so: 809 ISY-CYT Nui nhq.n: - OlC Benh vien, Phong kham da khoa, Trung tam y t~ chuyen nganh GTVT (co gitrong benh) (qua Website Cue Y t~); - Cue tnrong, cac PM Cue tnrong (d~ b/c); - Liru: VT, NVYD, SAO Y BAN CHiNH IIiz N6i, ngay 4,2. thang 10 ndm 2016 TL. Cl}C TRUONG TRUONG PHONG NVYD & TTBYT

GIAO THONG VAN TAl SAOYBANCHiNH CVCYTE so: 809 ISY-CYTcucytegiaothong.mt.gov.vn/Uploads/File/2016/809 NVYD.pdf · 2016-10-13 · Di~u 8.TBchucthue hi~n 1.BQY t@chu tri, phoi hqp voi

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Page 1: GIAO THONG VAN TAl SAOYBANCHiNH CVCYTE so: 809 ISY-CYTcucytegiaothong.mt.gov.vn/Uploads/File/2016/809 NVYD.pdf · 2016-10-13 · Di~u 8.TBchucthue hi~n 1.BQY t@chu tri, phoi hqp voi

BO GIAO THONG VAN TAlCVCYTE

so: 809 ISY-CYT

Nui nhq.n:- OlC Benh vien, Phong kham da khoa, Trungtam y t~ chuyen nganh GTVT (co gitrongbenh) (qua Website Cue Y t~);- Cue tnrong, cac PM Cue tnrong (d~ b/c);- Liru: VT, NVYD,

SAO Y BAN CHiNH

IIiz N6i, ngay 4,2. thang 10 ndm 2016

TL. Cl}C TRUONGTRUONG PHONG NVYD & TTBYT

Page 2: GIAO THONG VAN TAl SAOYBANCHiNH CVCYTE so: 809 ISY-CYTcucytegiaothong.mt.gov.vn/Uploads/File/2016/809 NVYD.pdf · 2016-10-13 · Di~u 8.TBchucthue hi~n 1.BQY t@chu tri, phoi hqp voi

BQYTE CQNG HOA xA HQI CHi; NGHiA VI~T NAMDQc I~p - T\f do - H~nh phuc

S6:35/2016/TT-BYT ns N(Ji, ngay 28 thong 9 n~fn(~MiAO T_hcn,iG vAN TA: iI CONG VAN DEN I

A I 11 -10- 2016

B h ' h D h ' f-lT I" c1IHOki~GthTl1ht ' c1A• ,. dJ SO' ... ·.. .q'T th At 1fJO Ian an an muc va "J «;, leu «;n an oan Ol VOl !eD.VI} K~' U~·' .....

y t~ thuQc pham vi c1U'Q'chU'(Yngcua ngU'o; tham gia bao hi~m y t~

Can cu Nghi dinh s6 63120121ND-CPngay 31 thang 8 ndm 2012 cua Chinhphu quy dinh chuc nang, nhiem v¥, quyen han va co cdu t6 chuc cua B(JY ti;

Can cu Ludt baa hidmy ti;Can cu Nght dinh s6 105120141ND-CP ngay 15 thang 11 ndm 2014 cua

Chinh phu quy dinh chi tiit va huang dan thi hanh mot s6 diJu cua Ludt baahiem y ti;

Can cu Nghi dinh s6 70120151ND-CP ngay 01 thang 9 ndm 2015 cuaChinh phu quy dinh chi tiit va huang dan thi hanh mot s6 diJu cua Ludt baahiem y ti d6i voi Qudn d(Jinhdn dan, Cong an nhdn dan va nguai lam cong taccO'yeu;

Thea dJ nght cua V¥ truang V¥ Baa hidm y ti,B(J truang B(J Y ti ban hanh Thong tu ban hanh Danh m¥c va tj; I¢, diJu

ki¢n thanh taan d6i vai dtch v¥ kY thugt y ti thu(Jcphgm vi dU(lc huang cuanguai tham gia baa hidm y ti.

Di~u 1. Danh ml}c djch VI} ky thu~t y t~ thuQc ph~m vi c1U'Q'chU'eYngcuangU'o; tham gia bao hi~m y t~

1. Danh m\lc dich V\lky thu~t y tS thuQc ph~m vi duQ'chUCmgcua nguaitham gia bflOhiSm y tS la cac dich VlJ kham b~nh, chua b~nh, ph\lC h6i chucnang, kham thai dinh ky va sinh con dll duQ'cBQ truCmgBQY tS quy dinh chophep thlJc hi~n t~i Vi~t Nam (tru dich VI,! ky thu~t y tS thuQc cac truOng hqpkhong duQ'chUCmgbao hiSm y tS quy dinh t~i £>iSu23 cua Lu~t bao hiSm y tS),bao g6m:

a) Danh m1,lcchuyen mon ky thu~t trong kham b~nh, chua b~nh ban hanhkern theo Thong tu s6 43/2013/TT-BYT ngay 11 thang 12 nam 2013 cua BQtruCmg BQ Y tS quy dinh chi tiSt phan tuySn chuyen mon ky thu~t d6i v6i h~th6ng co sa kham b~nh, chua b~nh;

b) Danh m1,lcphan lo~i phfiu thu~t, thu thu~t ban hanh kern theo Thong tus6 50/2014/TT-BYT ngay 26 thang 12 nam 2014 cua BQ truCmgBQ Y tS quydinh vi~c phan lo~i phfiu thu~t, thu thu~t va dinh muc nhan h,rc trong timg caphfiu thu~t, thu thu~t;

Page 3: GIAO THONG VAN TAl SAOYBANCHiNH CVCYTE so: 809 ISY-CYTcucytegiaothong.mt.gov.vn/Uploads/File/2016/809 NVYD.pdf · 2016-10-13 · Di~u 8.TBchucthue hi~n 1.BQY t@chu tri, phoi hqp voi

c) Cac dich vu Icy thuat y tS da:diroc BQtnrong BQY tS phe duyet thirc hientai cac co sa kham benh, chua benh rna chua co trong Thong tir sa 43/2013/TT­BYT, Thong tir sa 50/2014/TT-BYT.

2. Danh muc mot sa dich vu Icy thuat y tS co quy dinh cu thS vS dieu kien,ty l~ hoac mire gia thanh toan ban hanh kern thea Thong tir nay, bao gom:

a) Danh muc 1. Dich vu ky thuat y tS co quy dinh cu thS diSu kien, ty l~ varmrc gia thanh toan;

b) Danh muc 2. Dich vu kY thuat y tS co quy dinh cu thS diSukien thanh tom;c) Danh muc 3. Dich vu ky thuat y tS tam thai quy bao hiem y tS chua

thanh toanoDi~u 2. Ty l~ thanh toan bao hi~m y t~1. Ty I~ thanh tom bao hiSm y tS la ty I~ phan tram (%) cua gia dich vu ky

thuat y tS thuQc ph?m vi dugc huang cua nguai tham gia bao hiSm y tS.

a) Dai vai dich V\l Icy thu~t y tS co quy dinh tY l~ thanh toan C\lthS t?i CQt4cua Danh m\lc 1 ban hanh kern thea Thong tu nay thi tY l~ thanh toan Ia ty I~ph~n tram (%) gia cua dich V\lky thu~t y tS do.

b) Dai vai dich V\l Icy thu~t y tS co quy dinh muc gia thanh toan thea giacua dich V\lIcy thu~t khac quy dinh t?i CQt4 cua Danh m\lc 1 ban hanh kern theaThong tu nay thi ty I~ thanh toan la 100% gia dich V\l ky thu~t y tS co ten t?i CQt4 cua Danh m\lc 1.

c) Dai v6i dich V\l Icy thu~t y tS khong thuQcwang hQPquy diM t?i diSm a vadiSmb khoan 1DiSunay thi tY l~ thanh tom Ia 100% gia dich V\l kY thu~t y tS do.

2. Dai vai dich V\l Icy thu~t y ts rna gia da:bao g6m chi phi thuac, v~t tu y tSthi ty I~ thanh tom dich V\l ky thu~t y tS dugc ap d\lng thea quy dinh cua Thongtu nay, khong tinh tY I~ thanh toan rieng dai vai thuac, v~t tu y tS.

3. Dai v6i dich V\l Icy thu~t y tS rna gia chua bao g6m chi phi thu6c, v~t tu y tS.a) Ty l~ thanh tom cua dich V\l Icy thu~t y tS dugc ap d\lng thea quy dinh

cua Thong tu nay.b) Ty l~ thanh tom cua chi phi thuac, v~t tu y tS dugc ap d\lllg thea quy

dinh cua Thong tu ban hanh Danh m\lc thuac, v~t tu y tS thuQc ph?m vi dugchuang cua nguai tham gia quy bao hiSm y tS.

Di~u 3. Di~u ki~n thanh toan bao hi~m y t~1. Dai vai dich V\l ky thu~t y tS quy dinh t?i khoan 1 DiSu 1 Thong tu nay,

quy bao hiSm y tS thanh toan khi dap lIng cac diSu ki~n sau day:a) Bilgc c~pco thfun quySnphe duy~tthvc hi~n t?i co sa kham b~nh, chUab~nh;b) Bilgc thvc hi~nthea quy trinh chuyen mon do c~pco thfunquySnphe duy~t;c) Dugc c~p co th~m quySn phe duy~t gia dich V\lkham b~nh, chua b~nh

bao hiSm y tS.

2

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2. D6i voi dich vu ky thuat y tS quy dinh tai diem a khoan 2 DiSu 1 (Danhmuc 1) va diSm b khoan 2 DiSu 1 (Danh muc 2) ban hanh kern thea Thong nrnay, quy bao hiSm y tS thanh toan khi dap irng cac diSu kien quy dinh tai cacdiSm a, b va c khoan 1 DiSu nay va diSu kien thanh toan cu thS quy dinh tai C(>t3 cua Danh muc 1 va Cot 3 cua Danh muc 2 ban hanh kern thea Thong nr nay.

Di~u 4. HU'Ong d~n thanh toan bao hi~m y t~1. Nguyen t~c thanh toano

a) Quy bao hiem y tS thanh toan chi phi kham benh, chua benh bao hiSm ytS trong pham vi duoc huang, rmrc huang va gia dich vu kham benh, chua benhbao hiem y tS thea quy dinh tai DiSu 21, DiSu 22 va Dieu 31 cua Luat bao hiSmy tS va thea diSu kien, tY l~, muc gia thanh toan quy dinh t~i Thong tu nay.

b) NgillYib~nh thanh toan phan chi phi ngoai ph~m vi chi tni cua quy baohiSm y tS.

2. D6i vai dich V\l ky thu?t y tS co quy dinh tY l~ thanh toan C\lthS t~i Danhm\lc 1 ban hanh kern thea Thong tu nay.

a) Quy bao hiSm y tS thanh toan ph~n chi phi bfuIg gia cua dich V1,l ky thu~ty tS nhan (x) vai muc huang nhan (x) vai tY l~ thanh toan quy dinh t~i C(>t4Danh m\lc 1 ban hanh kern thea Thong tu nay.

b) Ngum b~nh thanh toan phk chi phi cling chi tra (nSu co) bfuIg gia cuadich V1,l ky thu~t y tS nhan (x) vai muc cling chi tra nhan (x) vai tY l~ Thanhtoanquy dinh t~i C(>t4 Danh m\lc 1 ban hanh kern thea Thong tu nay va thanh toanphk chi phi tv chi tra bfuIg gia cua dich V\l ky thu?t y tS nhan (x) vai tY l~ tvthanh toan quy dinh t~i C(>t4 Danh m\lc 1 ban hanh kern thea Thong tu nay.

3. D6i vai dich V\l k:Y thu?t y tS quy dinh Thanhtoan thea gia cua dich V1,l kythu~t y tS khac quy dinh t~i Danh m\lc 1 ban hanh kern thea Thong tu nay.

a) Quy bao hiSm y tS Thanh toan ph~n chi phi dugc tinh thea gia cua dichV1,l ky thu~t y tS khac quy dinh t~i C(>t4 cua Danh m\lc 1 nhan (x) vai muc huang.

b) Nguai b~nh thanh toan phk chi phi cling chi tra (nSu co) tinh tren giacua dich v\l ky thu~t y tS khac quy dinh t~i C(>t4 cua Danh m\lc 1, khong phaichi tra phk chi phi chenh l~ch giua gia cua dich V\l ky thu?t y tS dugc th\Ic hi~nvai gia cua dich V\l ky thu~t khac quy dinh t~i C(>t4 Danh m\lc 1 ban hanh kernthea Thong tu nay.

Vi d\l: Nguai b~nh thu(>cd6i tugng co muc huang 95% chi phi kham b~nh,chua b~nh, dugc chi dinh th\Ic hi~n dich V1,l ky thu~t "LQcmau c~p cilu", dap lIngdiSu ki~n thanh toano Gia cua dich V1,l ky thu~t "LQcmau c~p cilu" tuong duongvai gia cua dich V\l ky thu~t "Th~ nhan t~o c~p cilu", co gia 1.515.000 d6ng.

Twang hgp nguai b~nh chua d~t AVF ho~c da d~t AVF nhung chua sird\lng dugc thi Thanhtoan thea gia dich V1,l "Th~n nhan t~o c~p cilu", nhu sau:

- Quy bao hiSm y tS Thanhtoan: 1.515.000 dang x 95% = 1.439.250 dang.- Ngum b~nhThanhtoanphfuJ.cling chi tra: 1.515.000dang x 5% = 75.750 dang.

3

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Truong hop nguoi benh da: d~t AVF va AVF su dung diroc, thanh toan theagia dich vu "Than nhan tao chu ky", co gia 543.000 d6ng.

- Quy bao hiem y tS thanh toan: 543.000 d6ng x 95% = 515.850 d6ng.- Ngum benh thanh toan phan cung chi tra: 543.000 d6ng x 5% =27.150 d6ng.

- Chi phi chenh lech la = 1.515.000 d6ng - 543.000 d6ng = 972.000 d6ng,nguoi benh khong phai chi tra.

4. Quy bao hiSm y tS va ngiroi benh khong thanh toan chi phi dich vu kythuat y tS trong cac tnrong hop sau day:

a) Dich vu ky thuat y tS thuoc quy trinh chuyen mon cua mot dich vu kYthuat y tS khac rna chi phi cua dich vu kY thuat do da:diroc tinh trong co c~u giacua dich vu ky thuat y tS khac do;

b) Dich vu kY thu~t y tS co kSt qua duQ'ctinh toan til kSt qua cua dich V\l kythu~t y tS khac ho~c co kSt qua til vi~c thvc hi~n dich V\l ky thu~t y tS khac.

5. Dich V\l kY thu~t y tS thuQc kY thu~t mm, phuang phap mm thea quy dinht~i khoan 1 va 2 DiSu 69 Lu~t kham b~nh, chua b~nh duQ'c quy dinh gia kS tilngay Thong tu nay co hi~u Ivc thi quy bao hiSm y tS thanh toan khi dich V\l kYthu~t y tS nay duQ'cBQtruemg BQY tS quy dinh C\lthS diSu ki~n, tY 1~thanh toano

6. Quy bao hiSm y tS t~m thai chua thanh toan d6i vai dich V\l kY thu~t y tSquy dinh t~i Danh m\lc 3 ban hanh kern thea Thong tu nay.

Di~u 5. Di~u khmin chuy~n ti~p1. TruOng hqp nguai tham gia bao hiSm y tS vao co sa kham b~nh, chua

b~nh truac ngay Thong tu nay co hi~u Ivc va ra kh6i co sa kham b~nh, chuab~nh kS til ngay Thong tu nay co hi~u Ivc thi khong ap d\lng diSu ki~n, ty l~,muc gia thanh toan quy dinh t~i Thong tu nay, quy bao hiSm y tS va nguai b~nhthanh toan chi phi dich V\l ky thu~t y tS thea quy dinh t~i khoan 3 Di~u 20 Thongtu s6 4112014/TTLT-BYT-BTC ngay 24 thang 11 nam 2014 cua lien tich BQYtS, BQTai chinh huang dfuI thvc hi~n bao hiSm y tS.

2. D6i vai dich V\l kY thu~t y tS rna diSu ki~n thanh toan co quy dinh nguaithvc hi~n phai co ChUng chi dao t~o nhung da:duQ'c c~p Gi~y chUng nh~n dao~o thay cho ChUngchi dao ~o thi duQ'cap d\lllgdSnhStngay 31 thang 12nam 2017.

Di~u 6. Di~u khmln tham chi~uTruOng hqp cac van ban dfuI chiSu trong Thong tu nay bi thay thS ho~c sua

d6i, b6 sung thi thvc hi~n thea van ban m6i thay thS ho~c van ban da:duQ'csuad6i, b6 sung.

Di~u 7. Hi~u l\fc thi hanhThong tu nay co hi~u Ivc thi hanh kS til ngay 01 thang 12 nam 2016.

4

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Di~u 8. TB chuc thue hi~n

1. BQ Y t@chu tri, phoi hqp voi cac co quan lien quan sua d6i, b6 sungdanh muc dich vu Icy thuat y te ban hanh kern theo Thong nr nay bao damnguyen tAcnguoi b~nh duoc ti~p c~n voi dich vu ky thu~t Y t~ co ch~! IuQ'I1~,dap irng hieu qua dieu tri, phu hQ'Pgitra mire dong, rmrc hirong bao hiem y te,khuyen khich phat trien co kiem scat sir dung cac dich vu ky thu~t Y t~ voi chiphi hQ'PIY.

2. Bao hiem xii hQi Vi~t Nam t6 chirc thirc hien, thanh toan chi phi khambenh, chua benh bao hiem y t~ theo quy dinh cua phap Iu~t vS bao hiem y t~ vaThong tu nay.

3. Sa y t~, Y t~ cac bQ, nganh chi dao cac co sa kham benh, chua benhtnrc thuoc trien khai thtrc hien cac nQi dung quy dinh t~i Thong tu nay.

4. Co sa kham b~nh, chua b~nh co trach nhi~m:

a) Chi djnh va cung ~~p d~?, du dich V\l ky thu~t Y t~ bao dam quySn Igicua nguai tham gia bao hiem y te;

b) Cung c~p thong tin va giai thich cho nguai b~nh ho~c b6, my, nguaido d~u ho~c nguai 9?i di~n cua nguai b~nh t\1'tra ph~ chi phi chenh I~ch n~ut\1'I\1'ach<;>ndich V\l ky thu~t Y t~;

c) Ph6i hQ'Pv6i t6 chuc Bao hi@mxii hQi th\1'chi~n vi~c thanh toan chi phicac dich V\l ky thu~t Y t~ theo quy dinh cua phap lu~t vS bao hiSm y t@ vaThong tu nay.

Trong qua trinh t6 chuc th\1'chi~n, n~u co kho khan vuOng mAc dS nghi coquan, t6 chuc, ca nhan phan anh vS BQY t@dS xem xet, giai quySt.

Noi nh~n:• Van phong Chinh phil (Cong bilO, C6ng thong tin di~n tilChinh phu);• BQTil phap (C\lC KTVBQPPL);• BQTai chinh;· Bao hi€m xii hQi Vi~t Nam;• Sa Y t~ cac tinh, thanh ph6 tlVc thuQc trung uong;• Cac B~nh vi~n, Vi~n co giuOng b~nh tlVc thuQc BQY t~;• C\lCQuan y • BQQu6c phong;• C\lCY t~ . BQC6ng a/; .Y I. 'B~ 'h· te cac <;>, ngan ;

• Cac V\l, C\lc, TIra, VP· BQY t~;· C6ng thong tin di~n til BQY t~;· Luu: VT, PC, BH.

KT. DQ TRUCINGTHUTRlfONG

Pham Le Tuin.

5

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Danh muc 1.Djch v\l ky thu~t y t~ (DvKT) co quy djnh C\l th~

di~u ki~n, tY I~va rmrc ghi thanh toan(Ban hanh kern thea Thong tu s8 35/2016/1 "l'-BrtNgay 28 thdng 9 ndm 2016 cua B9 trutrng B9 Y Ii)

STT DVKTlNhomDVKT Di~u ki~n thanh toan Ty l~,mtfC gia

thanh toan(1)1.

2.

(2)L9Cmau cap ciru

T~m di~u trj b~nhnhan bong

(3)Thuc hien doi voi mot trong cactnrong hQ'Psau:a) Qua tai th€ tich khong dap irng voidi~u tri hoac co vo nieu, thieu nieu;b) Tang kali co r6i loan tren di~n tamd6 hoac kali mau tren 6,5 meq/L;c) HQi clnrng ure mau cao: trim dichmang tim, cac bieu hien r6i loan tamthAnkhong ly giai duoc 0 ngiroi b~nhsuy th~n;d) Toan chuy€n hoa n~ng (PH mauduai 7,1);d) NgQ dQc ruQ'U,ngQ dQcthu6c ho~cng9 dQcglycol.e) Cac truang hgp ngQ dQc khac cochi dinh I9Cmau cfip CUusau khi hQichftn.

Th\Ic hi~n t~i b~nh vi~n chuyen khoabong, ho~c b~nh vi~n h~g I, h~gd~c bi~t co chuyen khoa bong co sird\mg h~ th6ng t~m di~u trj, dam baodi~u ki~n t~m vo trimg, thanh toan 01IWdqt di~u tri d6i vai V~t bong 0nhi€m; thanh toan t6i da 2 IWtuAnd6i vai V~t bong nhi€m khuftn n~ngtrong cac truang hgp:1. Tre em co tbng di~n tich bong ill10% di~n tich ca th€ 0 02 vUng chith€ trolen;2. Nguai IOn c6 t6ng di~n tich bongill20% di~n tich ca th€ 0 03 vilng chith€ trolen.Vimg chi th€ xac dinh thee phuangphap chftn doan di~n tich bong cuaLe Th~Trung.

(4)

- Thanh toan choIk dAu thea giaDVKT "Th~ nhantao cfrP ciru",nhiing IAn sauthanh toan thea giaDVKT "Th~n nhantao chu ky' d6i voinguai b~nh chuad~t AVF ho~c dffd~t AVF nhungchua sir d\lng duQ'c.- Thanh toan theegia DVKT "Th~nnhan t~o chu k)'"d6i vai nguai b~nhdB: d~t AVF vaAVF sir d\lng duQ'c.

- Thanh toan bfmggia DVKT "T~mdi~u tri b~nh nhanbong" d6i vai t~mdi~u trj b~nh nhanbong khong gayme.- Thanh toan bfmggia DVKT "T~mdi~u tri b~nh nhantrong h6i suc, cfrpc(ru bong" d6i vaitlim di~u tri b~nhnhan bong c6 gayme.

2

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STT DVKTINh6mDVKT I)i~u ki~n thanh toan Ty l~, mire ghi

thanh toan(1)

3.

4.

5.

(2)Chup c~t lap VI

tinh til 1-32 day.

Chup c~t lap VI

tinh 64 day d€n128 day

Ch\lp c~t lap VItinh ill 256 daytra len

(3)Giam d6c co sa kham benh, chuabenh quy dinh cac tnrong hop duocchi dinh chup va gui co quan baohiem xa hoi. N€u Giam d6c co sakham benh, chua benh khong quydinh duoc cac tnrong hop chi dinhchup thi Giam d6c co sa kham benh,chua benh (hoac ngiroi diroc uyquyen) phe duyet hoac co h(>ichantnroc khi chup cho ngiroi benh.Thirc hien d6i voi mot trong cactnrong hop sau:a) Chup h~ dong mach: nao, canh,chu nguc/bung, ph6i, ph€ quan, m~ctreo, th~n, ch~u,vanh;b) Ch\lph~ m~ch t~ng;c) Ch\lpdanh gia tuai mau nao;d) Ch\lph~ d(>ngltInhm~chchi;d) Ch\lp tim va cac m~chmau Ian d€danh gia cac c~u truc tim va cacm~chmau Ian lien quan;e) Danh gia giai do~n,tai phcit,di dinung thu d€ chi dinh ph§u thu~t, h6atri, x~trio

TruOnghgp khac.

Ch\lp h~ d(>ngm~ch vanh vai nhiptim tren 70 chu ky/phut (sau khi dasir d\lng thu6c giam nhip tim) ho?cc6 b~t thuOngnhip; b~nh ly tim m~chb§.msinh a tre em duai 6 tu6i; b~nhly tim m~ch a nguai til 70 tu6i tralen.

Thl,lc hi~n d6i vai m(>t trong cactruOnghgp:a) Ch\lp h~ d(>ngm~ch: nao, ccinh,chu ngl,lc!b\lng,ph6i, ph€ quan, m~ctreo, th~, ch~u,vanh;

(4)

Thanh toan banggiaDVKT.

Thanh toan banggia DVKT, tnronghop chup ill hai vitri tro len thanhtoan t6i da b~ng giaDVKT "Ch\lp dtlap VI tinh toanthan".

Thanh toan theo giaDVKT "Ch\lp dtlap vi tinh tir 1-32day".Thanh toan b~nggia DVKT, truOnghgp ch\lp ill hai vitri tra len thanhtoan t6i da b~ng giaDVKT "Ch\lp c~tlap VI tinh toanthan".Thanh toan theo giaDVKT "Ch\lp c~tlap vi tinh 64-128day".

3

Page 9: GIAO THONG VAN TAl SAOYBANCHiNH CVCYTE so: 809 ISY-CYTcucytegiaothong.mt.gov.vn/Uploads/File/2016/809 NVYD.pdf · 2016-10-13 · Di~u 8.TBchucthue hi~n 1.BQY t@chu tri, phoi hqp voi

mp llufl ~Ulimbqump 'lluoq l'1q 'UIQAnqi llufl :!ll n~!p 1lUJ)dyp y!ll quyG (o

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:d.6q 13UQnll:JY:JEUOlllgw !-9A!gpIII n~!p 13UJ)dyp :J~oq u~:J !p 'Wqd iYl'ul'1op !U!13:J.6npqu!p :JYxEug1pJ :JY1pJ

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'"AIlPZ£ - I qun !A <i91l1P dnq;)" l)L\GY'!13o~ql UYOlquuql

'l)L\G y!1313u¥q UYOl quulll

'"A~PZ£ - I qun !A <i91HP dnq;)" l)L\GY'!13o~ql UYOlquuql

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:pp q:Juw qun;1lugp ~q dnq;) (p:OIlUnyUIWDly!13quyp dnq;) (:J

:13uUlq:Jl'1UI~q dnq;) (q

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(1)(t)UYOl qU1~ql

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(£) (z)~)lAa

w9qNl~)lAa ~~S

Page 10: GIAO THONG VAN TAl SAOYBANCHiNH CVCYTE so: 809 ISY-CYTcucytegiaothong.mt.gov.vn/Uploads/File/2016/809 NVYD.pdf · 2016-10-13 · Di~u 8.TBchucthue hi~n 1.BQY t@chu tri, phoi hqp voi

STTDVKTlNhom

DVKT f)i~u ki~n thanh toan Ty l~,mire glathanh toan

(1) (2) (3) (4)phoi khong phai te bao nho; Ung thuThuc quan; Ung thu vu; Ung thu c6trr cung; Lymphoma (U lympho actinh),2. Thanh toan khong qua 01 1~nJ12thang/O 1 ngiroi benh;3. Cac tnrong hQ'Pda: duoc chi dinhchup PET ICT d~ chAn doan giaidoan, chAn doan di din hoac thea d5idi€u tri n€u co chi dinh xa tri thi sirdung k~t qua chup PET /CT d~ rnaphong va l~p k€ hoach xa trio

Truong hQ'P Iva chon su dung chupPET ICT chi d~ mo phong xa trio

Thanh toan thea giaDVKT Xa tri sudung CT mo phong.

8. T6ng phan tich t€ Nghi ngo benh Iy v€ t€ bao mau vabao mau ngoai vi co bat thuong v€ s6 hrong t€ baob&ng h~ th6ng tv mau, co k€t qua dQCtieu ban do mayd<)ng hoan toan tv d<)ngkeo nhu<)m.(co nhu<)m tieuban tv d<)ng)

Thanh toan 01l~nJdqt di€u tri theagia dich vv T6ngpharr tich t€ baomau b&ng h~ th6ngtv d<)nghoan toano

Truang hQ'Pkhac. Thanh toan thea giaDVKT "T6ng phantich t€ bao mau ngol;livi bkg may laser".

9. Dinh luqng BNP Chfrn doan, thea d5i suy tim trennguai b~nh suy th~.

Thanh toan b&nggiaDVKT.

Chfrn doan, thea d5i suy tim tren Thanh toan thea gianguai b~nh khong suy th~. DVKT "Dinh

luqng Pro-BNP".

10. Cac xet nghi~mchi di~m kh6i ubkg kg thu~tmiSn dich phongXl;lho~c hoa sinh.

Chfrn doan va thea d5i di€u tri b~nhung thu d6i v6i m<)t trong cac xetnghi~m sau:- Dinh luqng CAI2S: Ung thu Bu6ngtrimg;- Dinh luqng CA 15 - 3: Chfrn doanungthuVu;- Dinh luqng CA 19 - 9: Chfrn doanung thu TVY, duang m~t;- Dinh luqng CA 72 - 4: Chfrn doanung thu Dl;lday;

- Thanh toan theagia DVKT "Xetnghi~m chi di~mkh6i u bfuIg kgthu~t hoa sinh";- Khong thanh toand6i v6i truang hQ'Pcac k€t qua xetnghi~m, chfrn doanhinh anh khac da:chfrn doan xac dinhho~c da: danh gia

5

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STTDVKTfNhom

DVKT Di~u ki~n thanh toan Ty l~,nnrc ghithanh toan

(1) (2) (3) (4)- Dinh hrong CEA: ChAn doan ungthu bieu mo.

ducc k2l qua dieutri benh ung thu.

11. Dinh hrongCRP/CRPhs

- Dinh luong CRP hs: Benh machvanh hoac nhci mau co tim.- Dinh hrong CRP: ChAn doan tinhtrang nhiem trung do viem phoi,viem ruot, viem tuy cfip, xufit huyettieu h6a, xo gan, viem khop dangthap, viem da nhiem doc, viem vungti~u khung, benh tv mi~n hoac nhiemtrung sau phfruthuat.

Thanh toan banggiaDVKT.

Cac tnrong hop khac, Thanh toan thea giaDVKT "Phan irngCRP".

12. Dinh hrong Pro­calcitonin [Mau]

Xac dinh tinh trang nhiem khuan Thanh toan bangnang voi di~m suy tang (SOFA) 2: 2 gia DVKT.hoac Lactat mau tren 1mmol/l.

Cac tnrong hop nhiem khuan khac, Thanh toan thea giaDVKT Dinh hrongCRP/CRPhs.

Khi thlJc hi~n d6ng thai vai DVKT Khong thanh toanoDinh lUQ'IlgCRP/CRP hs.

13. Xet nghi~m t~bao hQc b~ngphuang phapLiqui Prep

Sau di~u tri d6i vai nguai b~nh da:dUQ'ckhoet ch6p c6 ti':r cung motphfuIva chAndoan t~ bao hQcc6 ti':rcung - HSIL (t6n thuang noi bi~umo yay do cao), tuang duang da:duQ'cchAn doan mo b~nh hQc CIN2,3

Thanh toan b~ng

giaDVKT.

Cac chi dinh khac. Thanh toan thea giaDVKT "Nhuomphi~n d6 t~ baothea Papanicolaou".

14. Ph~u thu~t th~thlly tinh b~ngphaco vafemtosecond c6ho~c khong d~tIOLlPh~u thu~tth~ thlly tinh bfugphaco

1. Co sa kham b~nh, chua b~nh c6KhoaM~t ho~c dan vi/bo ph~ khamb~nh, chua b~nh chuyen khoa M~t;Truang hqp nguai b~nh con m~t dQcnhfit thi chi duQ'cthlJc hi~n t~i co sakham b~nh, chua b~nh tuy~n tinhho~ctuy~n trung uang;2. Nguai thlJChi~n dich V\l ley thu~tla bac sy duQ'cdao t~o diM hu6'n_g_

Thanh toan b~nggia clla DVKT"Ph~u thu~t dl,1cthlly tinh th€ b5ngphuang phapPhaco".

6

. - _. -----------------

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STT DVKTINh6mDVKT f)i~u ki~n thanh toan Ty l~,nnrc gia

thanh toan(1)

15.

(2)

Ph~u thuat noi soico Robot

(3)chuyen khoa mat tro len va co chimgchi dao tao ph~u thuat vien phaco;3. Ngiroi benh due th€ thuy tinh cothi hrc < 3/10.

1. Ngiroi benh hoac b6, my, ngiroigiam hQ hoac ngiroi dai dien cuanguoi benh co cam k€t tren h6 sabenh an viec nr Iva chon DVKT"Ph~u thuat nQi soi Robot" d€ dieu trid6i voi mot trong cac tnrong hQ'Psau:a) U nang 6ng m~t chu, u nang 6ngmat chu n6i mat ruot nQi soi;b) cit thuy ph6i a tre em, dt thuyph6i di€n hinh;c) Benh phinh dai trang bam sinh(Hirschsprung) ;d) Than (r mroc do hep phan n6i b€th~ ni~u qufm;d) Di t~t h~u mon, trvc trang;e) Lu6ng trao nguQ'cd~ day thvc quan.2. Nguai b~nh thuQc mQt trong cacd6i tuqng sau day:

a) Nguai ho~t dQng cach m~g tru6cngay 01 thang 01 nam 1945; nguaiho~t dQng each m~ng ill ngay 01thang 01 nam 1945 den ngay kh6inghIa thang Tam nam 1945; Ba myVi~t Nam anh hung; thuang binh,nguai huang chinh sach nhu thuangbinh, thuang binh lo~i B, b~nh binhsuy giam kha nang lao dQng ill 81%tra len; thuang binh, nguai huangchinh sach nhu thuang binh, thuangbinh lo~i B, b~nh binh khi di€u tri v€tthuang, b~nh ~t tMphat;

b) Tre em du6i 6 tu6i;

c) Sy quan, quan nhan chuyennghi~p, h~ sy quan, binh sy quandQi dang t~i ngii; sy quan, h~ syquan nghi~p VI,! va sy quan, h~ sy

(4)

Ty l~ thanh toan:- Quy bao hiem y t€thanh toan 40% giaDVKT;- Ngiroi benh Wthanh toan 60% giaDVKT.

7

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STT DVKTlNhomDVKT Di~u ki~n thanh toan Ty l~,nnrc gia

thanh toan(1) (2) (3) (4)

quan chuyen mon, ky thuat dangcong tac trong lire hrong cong annhan dan, h9C vien cong an nhan dan,ha sy quan, chien sy phuc vu c6 thaihan trong cong an nhan dan; nguoilam cong tac co y~u lurong luang nhud6i voi quan nhan; h9C vien co y~uduoc hirong ch~ do, chinh sach theach~ do, chinh sach d6i voi h9C vien 6cac tnrong quan doi, cong an;

d) Ngtroi thuoc dien huong tro cfipbao tro xlI hoi hang thang;

d) Ngiroi thuoc ho gia dinh ngheo;nguoi dan toc thieu s6 dang sinh s6ngtai vung c6 dieu kien kinh t~ - xlI hoikh6 khan; ngiroi dang sinh song taivung co dieu kien kinh t~ - xlI hoi d?cbiet kh6 khan; nguoi dang sinh s6ngtai xlI dao, huy~n dao.Nguai b~nh thuQc d6i tuqng khac:Nguai benh ho?c b6, m~, nguai giamhQ ho?c nguai dl;li di~n cua nguaib~nh c6 cam k~t tren h6 sO'b~nh anvi~c tv hJa ch9n DVKT "Phfru thu~tnQi soi Robot" d€ di€u tri d6i v6i mQttrong cac truang hgp neu tren.

Ty l~ thanh t0l1n:- Quy baDhi~m y t~thanh toan 30% giaDVKT;- Nguai b~nh tvthanh toan 70% giaDVKT va phc1ncung chi tra (n~uc6) tinh tren 30%giaDVKT.

8

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Danh muc 2.Djch vI} kY thu~t y t~ co quy djnh cu th~ di~u ki~n thanh toan

(Ban hanh kern thea Thong tu s6 35/2016/TT-BYTNgay 28 thong 9 ndm 2016 cua B9 truang B9 Y d)

STT DVKTINh6m DVKT Di~u kien thanh toan(1) (2)1

2

3

4

Tham do huyet dongthea phuong phapPiCCO

Ha than nhiet chi huy

LQc mau hftp phub~ng qua IQc reSIn

ThAm tach sieu IQcmau(Hemodiafiltrationoffline: HDF ON -LINE)

(3)

1. S6c tim hoac s6c nhiem khuan, khong dap irng voi tilhai thuoc v~ mach tro len, khong dat diroc huyet ap trungbinh muc tieu tren 65mmHg.2. HQi chAn c6 bac sy chuyen khoa h6i sire cftp ciru.

1. Thirc hien a benh vien hang d~c biet va cac co sa kham,chua benh diroc B9 Y te phe duyet.2. Benh nhan sau cftp ciru ngirng tuan hoan thanh cong, c6tai l~p tuan hoan, can hon me, nhung can phan xa d6ng tilvoi anh sang.

a) NgQ dQc: Paraquat, theophyllin, Carmabazepin hoacthuoc ch6ng trb cam ba yang;b) NgQ dQc: Valproic acid, disopyramide, meprobamate,phenytoin, phenobarbital, nftm dQc, m~t ca, nQc ong, nQcrAnho~c bQ Cc;tprna cac phuang phap di~u trj khac khongdap Ung.

a) Nguai b~nh IQcmau chu ky: t6i da 02 1~n13thang;b) Cuang c~n giap thu phat: PTH cao gftp 3 l~n,Phosphatase kiem tang cao g~p 8 ldn. Canxi tang cao hoacphospho tang cao khong dap Ung vai di~u tri thongthuang;c) HQi chUng Amyloidosis c6 bi~n chUng.

5 Tha may xam nh~phai ph6i dQc l~p

6 D~t 6ng nQi khi quan Nguai b~nh tien luqng tha may tren 5 ngay.c6 cua hut tren b6ngchen (Hi-low EVAC)

7

8

9

Di~u tri r6i loc;tnnhiptim phuc tc;tp b~ngs6ng cao t~nDi~n nao d6 video

Do da Icy ho hftp

Nguai b~nh da duQ'cd~t 6ng nQikhi quan hai nang.

Nhip nhanh nhi; cu6ng nhi; nhip nhanh thftt ho~c cac r6iloc;tllnhip tim khac da di~u tri b~ng s6ng cao t~n thongthuang thftt bc;ti.

Nguai b~nh c6 can dQng kinh l~n d~u ho~c da duQ'c chAndoan dQng kinh nhung k~t qua di~n nao d6 khong ra rangho~c ngum b~nh dQngkinh khang thu6c.

Khi c6 2 tren 3 dftu hi~u: ngu ngay, bu6n ngti ban ngayqua muc (danh gia thea bang ki€m Epworth), can ngi.rngtha duQ'cnguai khac chUng ki~n.

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------------------- ----

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:llugtlA uro !) U~llos lIuonx llUVW!-9An¥P up U.n!lll?){u~!I lyw :n¥p up ::l9'l (n

dl3lonqd ngp up lIuonqll?A 61 l)x l-gnql n¥qd 171

°lluYqlZI llUOll tn n~!p iop £ ynb lluglpJ l?Aw~n mw 1 ynblluglpJ jn !A!2W 'Jll !A £ ynb lluglpJ w~n !ll n~!p iop !2W °£

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STT DVKTINh6m DVKT Di~u kien thanh toan(1) (2)

17 SU dl,mg o~y cao ap Khi v~t thuong khong li~n sau 6 tufrn sau khi dll ap dVngdi~u tri vet thuong cac phuong phap di~u tri khac.

15

16

18

19

Ph~u thuat c~t IQc, xuIy v~t thuong tfrngsinh mon plnrc tap

T~m di~u tri benhnhan trong h6i sire,cftp CUubong

m~n tinh

Cac DVKT phvc h6ichuc nang.

Ky thu~t su dVng taygia du6i khuyultrenkhuyu; SU dVng changia tren g6i1du6ig6i1thao khap hang.

(3)a) V~t thuong tfrng sinh mon c6 d~p nat, dill co that hoacva xuong chau;b) Rach co tfrng sinh mon toi t~n nut tho trung tam va coth~t h~u mon;c) Rach qua nut tho trung tam toi t~ phen tI1JCtrang - amdao hoac am dao thong voi tang.

1. Thirc hien tai benh vien chuyen khoa bong, hoac benhvien hang I, hang d~c biet c6 chuyen khoa bong.2. SU dung h~ thong tarn di~u tri, dam bao dieu kien t~mvo trung,3. Tre em co t6rtg dien tich bong tir 10% dien tlch cO'th€ a02 vung chi th~ tro len; Ngiroi Ian c6 t6ng dien tich bongtir 20% dien tich co th~ a 03 vung chi th~ tra len. Vimg chith~ xac dinh thea phuong phap chAn doan di~n tich bongcua Le Th~ Trung.4. V~t bong 0 nhi€m thanh toan 01 lfrnldqt di~u tri; V~tbong nhi€m khuAnn~ng thanh toan t6i da 2 lfrnltufrn.

Cac DVKT phvc h6i chuc nang phai do ky thu~t vien c6chUng chi Phvc h6i chuc nang th\!c hi~n d6i v6i cac truanghqp sau:a) Cac kY thu~t t~p v~n dQng toan than, thanh toan t6i da02 ky thu~tlngay;b) Cac ky thu~t v~ d9ng tri li~u khac, thanh toan tbi da 03kY thu~tlngay;c) Cac ky thu~t ho~t d9ng tri li~u thanh toan t6i da 02 kythu~tlngay;d) Cac kY thu~t ngon ngfr tri li~u thanh toan 01 kythu~tlngay;d) Th\!c hi~n d6ng thai nhi~u kY thu~t c6 cling cO'ch~ tacdvng cho m9t vting, vi tri ho~c mQtb9 ph~n, thanh toan 01kY thu~tJngay.a) Tay gia thfim my: Thanh toan 01 Ifrncho dqt huang d~su dVng dfrutien;b) Tay gia chuc nang: Thanh toan t6i da 03 Ifrn cho dqthuang d~n su dVng dfru tien;c) Chan gia thao khap hang va tren g6i: Thanh toan t6i da02 lfrncho dqt huang d~ su dvng dfrutien;d) Chan gia con l~i khac: Thanh toan 01 lfrn cho dqt huangd~ su dvng dfrutien.

3

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llU!q qujqo don 'A~!~o~UIi.p.1)Snvp UVIoqo UVI10 UYOlquuql l3unp ns l~nql £)1 Z£

Od trgqo traq°l3unp .1)snvp uVI oqo uVI 10 UYOlllUu~ den l3unp .1)sl~nql £)1 1£

ON trgqo traq Q~°l3unp ns n~p UVIoqo UVI10 UYOlllUuql don l3uti.p ns l~nql £)I O£

OHdV)Iugqo uaq Q~ !Ql3

°l3unp .1)snvp UVIoqo uVI £0 up 19l UYOlquuql dou l3unp ns l~nql £)1 6ZOdV)IH

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Iql3Uq:JJql dl)!l3onno l3unp :JY:J!-9A 'JOYA~l3U l3Ullq raoq qtns

O!lln~IP WPfUVI~O up 19l uyolllUuql l3UllU :Jl)IP :JY:J d~l LZ:Jl)ql

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OHM. AUl u~q QJd~u l3unp .1)sl~nql £)I

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(z) (1){f}

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Di~u kien thanh toanSTT DVKTlNhom DVKT(1) (2)

33 Ky thuat sir dung nep Thanh toan 0ll~n cho l~n d~u sir dung.chinh hinh tu th~ c6

39 T~p nU6t

34

35

36

37

38

(3)dieu tri benh ly banchan cua nguoi benhdai thao duong

cho benh nhan saubong

Ky thuat sir dung nep Thanh toan 01 lk cho lk d~u sir dung.chinh hinh tu th~chan, tay cho benhnhan sau bong

Ky thuat t~p tay va Thanh toan 011Wngay, t6i da khong qua 30 ngay/dot di~uban tay cho nguoi triobenh li~t mra ngiroiva liet tuy

Phong b~ th~n kinhbing Phenol d~ di~utri co cling co

Co ctrng khu tni co cac chi do mot trong cac nguyen nhan sau:a) Tai bi~n mach mau nao;b) Xo cling rai rae;c) Ch~n thuong S9 nao;d) T6n thuong my song: Chan thirong my s6ng, Viem my,Xo cot ben teo co hoac U my;d) Bai nao;e) Viem nao.Thanh toan t6i da 10 ngay cho mQt dQ'tdi~u tri.T~p tri giac va nh~n

thuc

T~p m~ ca day Thanh toan d6i vai cac truOng hgp sau:ch~u (ca san ch~u, a) Sa sinh dl,lcdQ 1-2;Pelvis floor) b) Ri ti~u sau ph~u thu~t u xa ti~n li~t tuy~n, sau ph~u

thu~t vilng ti~u khung, sau x~ tri;c)Ri ti~u do b~nh ly dai thao duOng, hQichling duoi nglJa;d) Ti~u ti~n kh6ng tl,lchu d6i vai san ph\! sau m6 de va sanph\! sau de 07 ngay.

Do bac sy, ky thu~t vien c6 chling chi dao t~o v~ am ngfrtri li~u, chi diM, thl,lc hi~n. Thanh toan 01 l~n cho mQt dqtdi~u tri d6i v6i nguai b~nh:a) Sau ph~u thu~t ho(lc x~ tri vilng mi~ng, h~u, thl,lCquan;b) B~nh Iy S9 nao c6 gay r6i lo~ nu6t do: Tai bi~n m~chmau nao ho(lc Ch~n thuang S9 nao;c) B~nh Iy day thk kinh v~ dQng do: Bl;lili~t ho(lc Viemda day da r€;d) Parkinson;d) Xa cQt ben teo ca.

5

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STT DVKTINh6m DVKT f)i~u kien thanh toan(1) (2) (3)

40 Di~u tri bang b6n Thanh toan t6i da 5 lfin cho mot dot dieu tri d6i voi Hoixoay hoac b~ S\lC chirng dau loan duong do chin thuong (HQi chirng

Sudeck) hoac Mom cut dau.41 Tiem Botulinum a) HQichirng bang quang tang hoat nguyen phat.

toxine vao co thanhbang quang d~ di~u tribang quang tang hoatdQng

b) HQi chimg bang quang tang hoat do mot trong cacnguyen nhan sau:- T6n thuong my song do: Chin thirong tuy song, Viemtuy, Xo cQtben teo co hoac U tuy;- T6n thuong nao do: Tai bien mach mau nao, Xo cirng rairae, Chin thuong SQ nao, Viem nao hoac U nao;- T~tntrt dbt sbng (Spina bifida).

42 Tiem Botulinum Chi dinh trong co cirng khu tni cac co chi domot trong cactoxine vao di~m van nguyen nhan sau:dQng d~ di~u tri co a) Tai bien mach mau nao;cirng co b) Xo cirng rai rae;

c) Chin tlnrong SQ nao;d) T6n thuong my song: Chin thuang my s6ng, Viemmy,Xa cQtben teo ca ho~cU my;d) B~i nao;

I e) Viem nao.

43 Do ap hJc bang quang a) R6i lo~n ti~u ti~n sau t6n thuang my s6ng do: Chinbkg cQtthu6c nu6c thuang my s6ng, Viem my, Xa cQtben teo ca ho~cUmy.

b) R6i lo~nti~u ti~n sau t6n thuang nao do: Tai bien m~chmau nao, Chin thuang SQ nao, Xa cUngnii rac, Viem naoho~cUnao.c) R6i lo~ ti~u ti~n tren b~nh nhan nUt d6t s6ng (SpinaBifida).

44 Do ap hJc bang quangbkg may ni~u dQnghQc

Danh gia cac r6i lo~nbang quang co th~td6i v6i mQttrongcac truOnghQ'Psau:a) R6i lo~ ti~u ti~n sau t6n thuang my s6ng do: Chinthuang my s6ng, Viem my, Xa cQtben teo ca ho~cUmy;b) R6i lo~nti~u ti~n sau t6n thuang nao do: Tai bien m~chmau nao, Chin thuang SQ nao, Xa cUngnU rac, Viem naoho~cU nao;c) R6i 1o~ ti~u ti~n tren b~nh nhan nUt d6t s6ng (SpinaBifida);d) Parkinson.

45 Cac DVKT cham, Clru Thanh toan thea phuang phap, khong thanh toan thea vitri, vting, b('>ph~ ca th~.

46 Cac DVKT cham te Khi thlJchi~nph~u thu~t, thu thu~tkhong thanh toan themDVKT cham teo

6

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STT DVKTINh6m DVKT Di~u kien thanh toan(1) (2) _(_3_l47 Sieu am tim co can 1. Nguoi thuc hien: Bac sy co clnrng chi dao t:;10dinh

am huang tim mach tro len hoac co t5i thieu 02 nam thirchanh lam sang trong chuyen nganh tim mach, co Chirngchi sieu am tim duoc dao tao ill03 thang tro len d6ng thaico Chung chi dao tao Sieu am tim co can am.2. Phat hien luong thong trong tim d5i voi ngiroi benh t~cmach nao, vanh, th~n, lach, mac treo, chi hoac ap luc dongmach phoi cao, nghi ngo co nhimg luong thong bdt thuongcua tim nhung khong xac dinh duoc bing sieu am tim vada loai tnr nguyen nhan gay t~c mach khac.

48 S·A A· h 1 N ,. h h·A B' - 'Ch' hi de dinh_ leu am tim qua thtrc ,_ guo"! t -lJ'C__icn: _ ac sy co ung CIao tao !quan huang tim mach hoac bac sy thuc hanh lam sang trong

chuyen nganh tim mach ill 2 nam tra len, co ChUng chisieu am tim duQ'c dao t~o til 3 thang tra len d6ng thai coChUng chi dao t~o Sieu am tim qua th\Ic quan.2. Ap d\mg d5i vai m9t trong cac truang hqp:a) Phfru thu~t ho?c can thi~p tim m~ch;b) Cac kh5i u, huy~t kh5i trong tim;c) Nghi nga phinh tach d9ng m~ch chu type a;d) Cac b~nh tim bAmsinh;d) B~nh nhan co van tim nhan t~o ho?c danh gia co ch~t6n thuang van tim khi sieu am qua thanh ng\Ic chua xacdinh r5 cac t6n thuang

49 Sieu am tim 4D

50 Sieu am tim khac Nguai th\Ic hi~n: Bac sy chuyen khoa I tra len v~ chAndoan hinh anh ho?c Bac sy co ChUng chi Sieu am timduQ'cdao t~o ill3 thang tra len.

1. Nguai th\Ic hi~n: Bac sy chuyen khoa tim m~ch coChUng chi dao t~o dinh huang tim m~ch tra len ho?c co t5ithi~u 02 nam thl,rChanh lam sang trong chuyen nganh timm~ch, co ChUng chi Sieu am tim duQ'cdao t~o 03 thang tralen d6ng thai co ChUng chi dao t~o Sieu am tim 4D.2. D~ th\Ic hi~n cac ph~u thu~t ho?c can thi~p tim m~ch.

51 Cac DVKT: Sieu am 1. Co dan vi th\IChi~n can thi~p tim m~ch.trong long m~ch ho?c 2. Nguai th\IC hi~n: Bac sy co ChUng chi tim m~ch canDo d\I t:rii luu lugng thi~p duQ'cdao t~o til 12 thang tra len d6ng thai co ChUngdong m~ch vanh chi dao t~o v~ thu thu~t Sieu am trong long m~ch ho?c doFFRISieuam trong long phan sudt d\I trfr luu lugng vanh.m~h v3nh (iVUS)/Dopharr sudt d\I t:rii luulugng v3nh (FFR)/ SieuamnOim~ch

52 Sieu am doppler m~ch 1. Nguai th\IChi~n: Bac sy chuyen khoa I tra len v~ chAnmau doan hinh anh ho?c Bac sy co chUng chi v~ sieu am m~ch

7

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STT DVKTINh6m DVKT Di~u kien thanh toan(1) (2) (3)

mau duoc dao tao tir 3 thang tro len.2.Thanh toan 01 Ifm khong phan biet ben phai hoac traid6i voi h~ thong mach mau d6i xirng.

53 Chup c~t .16p vi tinh a) Nghi ngo c6 benh ly mach vanh khi da: c6 cac k€t quadong mach vanh xet nghiem khac nhu thir nghiem g~g sire hoac sieu am

tim;b) Xac dinh cac twang hop dau ngirc khong di€n hinh anguoi benh sau ph~u thuat lam c~u n6i mach vanh hoac c6d~t stent.

54 Chup va nut mach Sau chan th,ucmg gia phinh, chay mau miii khong kiemdieu tri chay mau mui 't d ba ic oh ha kha h ~ orn hSQa. _.UQ'C ang cac p uong p ap ac oac u yom ongs6 h6a x6a n€n gay chay mau mlii khong dap ung v6i cac di€u tri khac.

55 Ch\lp va nut m~ch Cac kh6i u c6 chi dinh ph~u thu~t va c6 tang sinh mc;tchti€n ph~u cac kh6i u mau, c6 nguy cO'chay mau cao khi ph~u thu~t.s6 h6a x6a n€n

56 Ch\lp va sinh thi€t Nguai b~nh c6 r6i loc;tndong mau (chi s6 Prothrombingan qua tInh m~ch du6i 50).tr~n gan s6 h6a x6anen

57 £>i€u tri tiem XO'tfl}c Di d~ng tInh mc;tchc6 lUll luqrrg dong chay cao (u mau th€ti~p qua da s6 h6a x6a hang).nen

58 £>i€utri bam t~c m~ch Di d~ng tInh mc;tchc6 lUll luqrrg dong chay cao (u mau th€ti€p da

,hang).tfl}c qua so

h6a x6an€n? ?

59 Ch\lp cQng hu6ng ill B~nh Iy tim bam sinh phuc t~p ill2 thucmg ton tra len.tim danh gia cac b~nhIy tim bAm sinh c6tiem thu6c tucmgpharr

60 Ch\lp cQng hu6ng ill B~nh Iy tim bAmsinh phuc tc;tpill 2 thucmg t6n tra len.tim danh gia cac b~nhIy tim bAmsinh

61 Ch\lp cQng hu6ng tu Chi dinh d6i v6i b~nh Iy cO'tim c6 EF < 50%: CO'tim giantim danh gia khu€ch ho~c CO'tim phi d~i.tan suc cang

62 Ch\lp cQng hu6ng ill Khi da: duQ'c ch\lp cQng hu6ng ill gan bfutg chfrt tucm~gan v6i chfrt tucmg pharr thong thuang nhung khong xac dinh duQ'c barr chatpharr d~c hi~u mo mo b~nhh9C.

63 Ch\lp c<)ng hu6ng ill Thanh toan d6i v6i cac twang hQ'Psau:b~nh Iy cO'tim co tiem a) Viem cO'tim;thu6c tucmgpharr b) £>anhgia s6ng con cO'tim sau nh6i mau cO'tim.

8

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STT DVKTINh6m DVKT Di~u kien thanh toan(1) (2) (3)64 Chup cong huang til' a) Benh ly mach vanh: phinh mach vanh trong benh

dong mach vanh Kawasaki ... ;b) Trong cac benh tim bfunsinh, dn danh gia tnroc phfiu thuat,

65 Chup cong huang til' 1. Giam d6c co sa kham benh, chua benh (hoac nguoikhac duoc uy quyen) phe duyet hoac co h(>ichan;

2. Giarn d6c co sa kham benh, chua benh quy dinh cactnrong hop chi dinh chup va giri co quan bao hiem xii hoi.

dong mach Thanh toan d6i voi cac tnrong hop sau:a) Nh6i mau co tim c~p c6 ST chenh len;b) Dau nguc khong 6n dinh va Nh6i mau co tim khong STchenh len;c) Dau that nguc 6n dinh nhung di€u tri n(>ikhoa t6i Uti

khong khong ch~ duqc tri~u chUng;d) Sau dp CUu ngirng tu~n hoan ngoai b~nh vi~n;d) Dau nglJc tai phat sau can thi~p d(>ngm~ch vanh hoftcsau phfiu thu~t lam cfrun6i;e) Suy tim khong r5 nguyen nhan;g) Nguai b~nh c6 r6i lo~mnhip nguy hi~m (nhip nhanhth~t, block nhI th~t).

----------------------------~Thanh toan d6i vai cac truang hqp sau:a) Tang Gama Globulin mau;b) B~nh ly dO'l1dong globulin mi~n dich.

66 Chupvanh

67 Di~n di mi~n dichhuy~t thanh

68

69

70

71

72

Dinh danh khang th~b~t thu<'mg

Dinh luqng CD25(IL-2R) hoa tan tronghuy~t thanh bing kythu~t ELISA

Dinh luqng gen b~nhmau ac tinh b~ng kYthu~t Real - Time PCR

Dinh luqng y~u t6XIII (Ten khac: Dinhluqng y~u t6 6n dinhsqi huy~t)

DiM type HLA cho 1locus (Locus A, ho~cLocus B, ho~c LocusC, ho~c Locus DR,ho~c Locus DQ) bingkY thu~t PCR-SSP

K~t qua xet nghi~m khang th~ b~t thu<'mgdUO'l1gtinh.

Thanh toan d6i vai cac tru<'mghqp sau:a) Ch~n doan xac dinh h(>ichUng thlJc bao t~ bao mau;b) Tang ho~t tinh lympho T;c) Sau ghep t~ bao g6c t~o mau.

Theo d5i di€u tri b~ng h6a ch~t ho~c ghep t~ bao g6c t~omau a nguai b~nh mau ac tinh dii xac dinh d(>tbi~n genb~ng phuO'l1gphap dinh tinh.

Ch~n doan va thea d5i di€u tri r6i lo~n dong mau do thi~uy~u t6 XIII.

Thanh toan d6i vai cac tru<'mghqp sau:a) Nguai b~nh c6 chi dinh ghep t~ bao g6c t~o mau d6ngloai ho~c c6 chi dinh ghep t~g.b) DO'l1vi t~ bao g6c ho~c t~ng ghep cho nguai b~nh.

9

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STT DVKTINh6m DVKT f)i~u kien thanh toan

74 Dinh luong PIVKA

(3)(1) (2)

73 Dinh type HLA dOphan giai cao cho 1locus (Locus A, hoacLocus B, hoac LocusC, hoac Locus DR,hoac Locus DQ, hoacLocus DP) bang kythuat PCR-SSO

Thanh toan d6i voi cac tnrong hop sau:a) Ngiroi benh c6 chi dinh ghep tang hoac ghep t~ bao g6cd6ng loai khi dn k~t qua HLA 6 do phan giai cao.b) Don vi t~ bao g6c hoac tang ghep cho nguoi benh.

Khi cac phuong phap chan doan hinh anh phat hien c6khoi u gan + AFP diroi 400nglml; danh gia hieu qua di~utri, theo d5i di can, tai phat.F===~==-----===----~----------------~~~--------------------Thanh toan khi thuc hien d6i voi mot trong cac tnrong hop75 Xet nghiem giai trinh

tu gen sau:a) Phan tich dot bien gen benh mau (gen c6 nhieu loai dotbien hoac dot bien tren nhieu gen). Dot bien gen khangthuoc voi cac thuoc dieu tri dich 6 nguoi benh La xe mikinh dong b~ch d.u h~t: Da xac dinh duong tinh v6i genBCR-ABL bfug xet nghi~m RT - PCR va duQ'Cdi~u tribfug thu6c UCch~ Tyrosine kinase sau 03 thang nhungkh6ng dap lrng ho?c mfit dap Ung trong qua trinh di~u triob) Phan tich t6n du t6i thi~u 6 b~nh mau ac tinh d6iv6i nguai b~nh da dUQ'cchAn doan b~nh mau ac tinh b~ngxet nghi~m huy~t d6, my d6 thuoc mot trong cac trubnghqp sau:- Xet nghi~m RT-PCR am tinh v6i cac gen AMLI-ETO,PML-RAR a, CBFB-MIHll, NPM1, FLT3 (d6i v6i b~nhLa xe mi c~p dong tuy AML) ho~c gen BCR-ABL, TEL­AMLl, MLL-AF4, E2A-PBXl (d6i v6i b~nh La xe mi c~pdong lympho ALL);- Xet nghi~m di truy~n t~ bao am tinh v6i del (5q), del(7q), trisomy 8, del (20q) ho?c am tinh v6i gen JAK2V617F (d6i v6i b~nh tang sinh my m~ MPN).c) Xet nghi~m Chimerism sau ghep t~ bao g6c t~o mau:Th\Ic hi~n khi kh6ng tim dUQ'cmarker duong tinh v6i xetnghi~m RQ-PCR. Thanh toan t6i da 04 lfuI trong 06 thangd~u sau ghep; nhfing lfuI sau cach nhau t6i thi~u 02 thangkhi c6 hi~n tuQ'Ilgthai ghep ho?c nguy ca tai phat cfuI phaidi~u chinh thu6c UCch~ mi€n dich.

76 Nu6i cly C\)IIl ~ bao g& Ghep t~ bao g6c t\I than.ecolonyfumingculture)

77 Phat hi~n gen b~nh B~nh Thalassemia ho?c nghi nga b~nh Thalassemia.Thalassemia bfug kYthu~t PCR-RFLP

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STT DVKTlNhom DVKT Di~u kien thanh toan(1) (2) _(_3178 Xet nghiem phat hien Benh Thalassemia hoac nghi ngo benh Thalassemia.

dQt bien genthalassemia bfuIg kythuat PCR

79 Phat hien khang th~ a) Ngiroi benh c6 chi dinh ghep te bao g6c hoac ghep tangkhang tieu d.u bang d6i voi mot trong cac tnrong hop nghi ngo c6 khang th~ky thuat Flow- khang tieu cAusau:cytometry - Theo d5i a mQt s6 benh c6 truyen ti~u cAu nhieu IAn:

Xu~t huyet giam tieu cAu, Suy my xirong, Benh h~ thong,Lupus, giam sinh my, sau h6a tri lieu hoac sau ghep te baog6c tao mau,- Cac benh tv mi~n.- Cac tnrong hop truyen ti~u cAukhong hieu luc.b) Dan vi te bao g& hoac tang su dung d~ghep chongiroi benh.

80 Xet nghi~m xac dinh Nguoi benh c6 chi dinh ghep te bao g6c ho?c ghep t~ng10ang th~, khang ti~u nghi nga c6 khang th~ khang ti~u cAu:diu tl1JCtiep a) Theo d5i a mQt s6 b~nh c6 truy~n ti~u cAunhi~u IAn:

Xu~t huyet giam ti~u cAu, Suy tuy xuang, B~nh h~ th6ng,Lupus, giam sinh my, sau h6a tri li~u ho?c sau ghep te baog6c t~o mau.b) Cac b~nh tv mi€n.c) Cac truang hqp truy~n ti~u cAukhong hi~u h,rc.

81 Thu th~p va chi~t tach Ghep t~ bilO g6c 4r than.te bao g6c, mau vacac che phAm mau d~luu trfr

82 Xet nghi~m va ch~n Xac dinh lo~i t~ bao trong my xuang: u lympho xam l~ndoan hoa mo mien my, u lympho th~ my, da u my xuang, la xe mi c~p, la xedich my xuang cho mi kinh dong lympho, hQi chUng tang sinh lympho, r6imQt d~u ~n (Marker) lo~n sinh tuy ho?c ung thu di can my.tren may nhuQm t1;rdQng

83 Dinh lUQ'IlgPro-BNP ChAndoan, thea d5i suy tim.

84 Dinh lUQ'Ilg HbAlc T~lJc hi~n t6i thi~u sau m6i 3 thang dS dcinh gia ket qua[Mau] dieu tn b~nh dai thao du<'Yng.Clostridium nuoi

,Nguai bi tieu chay nghi nga nhi~m C.difficle sau di~u tri85 cay,

dinh danhlClostridium khang sinh.difficile mien dich tl,IdQng

86 CMV Real-time PCR ChAndoan d~ di~u tri cac b~nh ly nao, gan, mAt,ghep ~g,ghep t~ bao g6c, s6t keo dai ho{ictinh tr~g suy giam mi~ndich khong r5 nguyen nhan nghi nga do Cytomegalovirus.

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STT DVKTlNhom DVKT Di~u kien thanh toan(1) (2) (3)87 HBV do Uti IUQ'Ilg Diroc bac sy cua co sa kham benh, chua benh c6 don vi

Real-time peR di~u tri viem gan chi dinh, thuc hien trong cac tnrong hop:a) Xet nghiem l~n d~u.b) Nguoi benh duoc di~u tri thi thanh toan xet nghiem l~d~u va nhtrng l~n xet nghiem ti~p thea each nhau sau 3 d~n6 thang.

88 HCV do tai IUQ'Ilg Duoc bac sy cua co sa kham benh, chua benh c6 don viReal-time PCR di~u tri viem gan chi dinh, thirc hien trong cac tnrong hop:

a) Xet nghiem l~n d~u;b) Nguoi benh diroc dieu tri thi duoc thanh toan cho l~nd~u, thanh toan Ifin xet nghiem thir hai khi thirc hien eachl~n d~u 4 tuan, nhtrng l~n xet nghiem ti~p thea each nhau 3d~n 6 thang.

89 Helicobacter pylori Sau dieu tri khang sinh tren 15 ngay Helicobacter pylori". ,

vin duong tinh.nuoi cay, dinh danhva khang thu6c

90 Vi nftm • ? • trinh tv Chi dinh dinh danh cac vi nftm kh6ng nu6i cfty duQ'c, kh6gIalgene nu6i cfty, nu6i cfty tren 15 ngay ho~c chua dinh huang

duQ'cdi.n nguyen vi nftm gay b~nh.91 HIV khang thu6c giai Nguai b~nh duQ'c di~u tri thea phac d6 di~u tri HIV/AIDS

trinh t\l gene cua B(>Y t~ nhung nghi nga khang thu6c.

92 HCV genotype giai Chi dinh khi c~ kh~ng dinh genotype cho di~u tri, khitrinh t\1gene DVKT "HCV genotype Real- time PCR" kh6ng th~ xac

dinh duQ'cgenotype.

93 HBV khang thu6c Nguai b~nh duQ'c di~u tri thea huang d~ di~u tri cua B(>giai trinh tv gene Y t~ nhung nghi nga khang thu6c.

94 Virus giai trinh t\1 B~ dinh da~ virus khi chua dinh huang duQ'cdin nguyengene gay b~nh bang cac ky thu~t xet nghi~m vi sinh khac.

95 Vi khufrn dinh danh Chi dinh d~ dinh danh cac vi khufrn kh6ng nu6i cfty duQ'c,giai trinh tv gene kh6 nu6i cfty, nu6i cfry tren 15 ngay kh6ng c6 k~t qua ho~c

chua dinh huang duQ'ccan nguyen vi khufrn gay b~nh.96 Xet nghi~m d(>t bi~n 1. BuQ'c bac sy chuyen khoa ung bu6u cua co sa kham

gen Her 2 b~nh, chua b~nh c6 don vi di€u tri ung thu chi dinh;2. Chfrn doan ung thu vU ho~c ung thu d~ day.

97 Xet nghi~m d(>t bi~n 1. BuQ'c bac sy chuyen khoa ung bu6u cua co sa khamgenBRAF b~nh, chua b~nh c6 don vi di€u tri ung thu chi dinh;

2. Chan doan ung tim ~ trgc trang ho~cung thu tuy~n giap.98 Xet nghi~m d(>t bi~n 1. BuQ'c bac sy chuyen khoa ung bu6u cua co sa kham

genEGFR b~nh, chua b~nh c6 don vi di€u tri ung thu chi dinh;2. Chfrn doan ung thu ph6i kh6ng t~ bao nh6 giai do~ 3,4

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STT DVKTlNhom DVKT Di~u kien thanh toan(1) (2) (3)99 Xet nghiem d9t bien 1. Dtroc bac sy chuyen khoa ung bu6u cua co So' kham

genKRAS benh, chua benh co dan vi dieu tri ung thu chi dinh;2.Chan doan ung thu dai t11,ICtrang.

100 Dinh hrong SCC 1. Duoc bac sy chuyen khoa ung bu6u cua co So' kham(Squamous cell benh, chua benh co dan vi di€utri ung thu chi dinh;carcinomaantigen) 2.Theo doi tai phat ung thu c6 tll'cung hoac ung thu phoi.

101 Cac xet nghiem giai Dan vi tinh la m~u benh pham (cho 01 co quan, t6 chircph~ubenh hoac b9 phan co the), khong tinh thea block.

102 NhuomPAS Periodic Khong thanh toan doi voi benh pham nao hut buong nrAcid Schiff cUE.g?_~9t!~~_~__(!~_!~D't!g__hopu IU9t.~~ira).-v-....-_.-..,.._ .,._--._.-

103 Bam rna phe quan Khong thanh tom them DVKTN9i soi phe quan.

104 Lap trinh may tao Khong thanh tom them DVKTDien tam do.nhip tim

105 Ghepv~t lieu thay the Khong thanh toan them DVKTThay bang bong.da di€utri vet thirong,vet bong

106 R~chho~i illbong Khong thanh toan them DVKTThay bang bong.giai thoat chen ep

107 Khau cam mau, that Khong thanh toan them DVKTThay bang bong.m~chmau d€ cftPClruchaymau trong bongsau

108 Lam l~ithanh am d~o, Khong thanh toan doi v6i Khau tang sinh mon, thanh amtAngsinhmon d~otrong cu9c de.

109 Sieuam Doppler mau Khong thanh toan khi thlJChi~nDVKT Sieu am tim co cantim am.

Ghi chu:1. D6i v6i dich V\l ky thu~t co quy dinh nhi€u di€u ki~n thanh toan co s6 th(r tlJ'1, 2,3... t~i C9t 3, quy bao hi€m y t€ thanh tom khi dich vv ky thu~t dap lIng tftt ca cacdi€uki~n;

2. D6i v6i dich vv ky thu~t co quy dinh nhi€u di€u ki~n thanh toan co g~ch dfrudong(-) ho~c a), b), c)... t~i C9t 3, quy bao hi€m y t€ thanh tom khi dich vv ky thu~t daplIngm9t trong cac di€u ki~n do.

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Danh muc 3.

Djch vl} kY thu~t y t~ tam tho; quy bao hi~m y t~ chua thanh toan(Ban hanh kem thea Thong tu sci35/2016/TT-BYTNgay 28 thang 9 ndm 2016 cua B9 truong B9 Y ti)

STT DVKTINh6m DVKT

1 HIV genotype giai trinh tu gene

2 HBV genotype giai trinh tu gene

3 Di€u tri bang bun

4 Dieu tri bang mroc khoang

5 Luyen t~p duong sinh

6 ANA 17 profile test

7 Helicobacter pylori giai trinh nr gene

8 Chlamydia giai trinh nr gene

9 Neisseria gonorrhoeae khang thuoc giai trinh tv gene

10 Vibrio cholerae giai trinh nr gene

11 Vi khuan khang thuoc giai trinh tu gene

12 Rubella virus giai trinh tv gene

13 Influenza virus A, B giai trinh tlJ gene

14 HPV genotype giai trinh tu gene

15 Enterovirus genotype giai trinh nr gene

16 EV71 genotype giai trinh nr gene

1

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