Abstract

The establishment of disability is entrusted to the federal institutions of medical and social expertise (ITU). A number of regulatory documents regulate the process of examination of patients in the ITU Bureau. A citizen is sent to the ITU by a medical organization, regardless of its organizational and legal form. It is necessary to refer the patient to the ITU bureau in the formation of persistent disorders of the bodys functions, which persist when an adequate and complete set of therapeutic and rehabilitation measures is carried out. A mandatory document in the examination process is Referral for medical and social examination by a medical organization (form No. 088/y).
 The Ministry of Labor and Social Protection of the Russian Federation and the Ministry of Health of the Russian Federation, by joint Order No. 27n/36n, approved the procedure for filling out the referral to the ITU on Form No. 088/y. The new procedure comes into effect on January 1, 2022. The document analyzes and analyzes in detail each point of the referral to the ITU; specifies how the referral points should be filled in; specifies the timing of the transfer of the referral to the ITU territorial bureau; identifies cases when it is possible to issue a referral on paper; The procedure for sending foreign citizens to the ITU is stipulated.
 The form 088/y has not changed, but from January 1, 2022, the direction will be formed in the form of an electronic document. If it is impossible to form an electronic version of the document and if there is no information system or access to it in the medical organization, the referral will be formed on paper.
 An extremely important and responsible moment is filling out the form 088 /y by specialists of a medical organization, since when deciding on the establishment of disability, ITU doctors rely largely on the information recorded in this document.

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