LISTA PRESTATIILOR MEDICALE AFERENTE

PROCEDURII PRIVIND INVESTIGAREA SI

DIAGNOSTICAREA BOLILOR PROFESIONALE
LISTA SERVICIILOR MEDICALE ACORDATE N CLINICI/SECII DE MEDICINA
MUNCII/BOLI PROFESIONALE - SPITALIZARE CONTINU

1. CONSULTURI / INVESTIGAII / SERVICII MEDICALE DE SPECIALITATE:

A. Consultaia medical de specialitate

Consultaia medical de specialitate cuprinde:

- anamneza, examenul clinic general, examenul clinic specific specialitii respective,
stabilirea protocolului de explorri i/sau interpretarea integrativ a explorrilor i a analizelor
de laborator disponibile efectuate la solicitarea medicului de familie i/sau a medicului de
specialitate, n vederea stabilirii diagnosticului;
- unele manevre specifice pe care medicul le consider necesare, altele dect cele prevzute la
lit. B;
- stabilirea conduitei terapeutice i/sau prescrierea tratamentului medical i igieno-dietetic,
precum i instruirea n legtur cu msurile terapeutice i profilactice.

B. Servicii medicale de specialitate:

_____________________________________________________

Nr. |
Denumire specialitate/serviciu
|crt. |
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
A.| Alergologie i imunologie clinic
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
A1| Teste cutanate (prick sau IDR) cu seturi standard de
|
|
| alergeni (maximum 8 teste inclusiv materialul pozitiv i
|
| |
negativ)
|
_____________________________________________________________|
|
A2| Teste de provocare nazal, ocular, bronic
|
|_____|_____________________________________________________________|
|
A3| Teste cutanate cu ageni fizici (maximum 4 teste)
|
|_____|_____________________________________________________________|
|
A4| Imunoterapie specific cu vaccinuri alergenice
|
|
| standardizate
|
|_____|_____________________________________________________________|
|
A5| Peakflow metrie
|
|_____|_____________________________________________________________|
|
A6| Spirometrie (efectuare)
|
|_____|_____________________________________________________________|
|
A7| Aerosoli/caz (edin)
|
|_____|_____________________________________________________________|
|
A8| Spirogram + test farmacodinamic bronhomotor
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
| B) Cardiologie
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
| Consultaia de cardiologie include i interpretarea EKG
|
|_____|_____________________________________________________________|
|
B1| Examen electrocardiografie (efectuare)
|
|_____|_____________________________________________________________|
|
B2| Interpretare EKG continuu (24 ore, Holter)
|
|_____|_____________________________________________________________|
|
B3| Interpretare Holter TA
|
|_____|_____________________________________________________________|
|
B4| Oscilometrie
|
|_____|_____________________________________________________________|
|
B5| Efectuare EKG de efort
|
|_____|_____________________________________________________________|

|_____|

|_____|_____________________________________________________________|
| C. | Chirurgie
_____________________________________________________
|
|_____|_____________________________________________________________|
|
| Consultaia i tratamentul chirurgical al leziunilor
|
|
| cutanate (anestezie, excizie, sutur, pansament)
|
|_____|_____________________________________________________________|
|
| C.1| Oscilometrie
|
|_____|_____________________________________________________________|
| C.2| Recoltarea unui produs patologic sau material pentru
|
|
| biopsie
|
|_____|_____________________________________________________________|
| C.3| Administrare intravenoas de medicamente
|
|_____|_____________________________________________________________|
| C.4| Endoscopie digestiv superioar diagnostic (esofag,
|
|
| stomac, duoden)
|
|_____|_____________________________________________________________|
|
D.| Dermatovenerologie
|
|_____|_____________________________________________________________|
|
| Consultaia i tratamentul chirurgical al leziunilor
|
|
| cutanate (anestezie, excizie, sutur, pansament)
|
|_____|_____________________________________________________________|
| D.1| Electrochirurgia/electrocauterizarea tumorilor
|
|
| cutanate/leziune
|
|_____|_____________________________________________________________|
| D.2| Crioterapia/leziune
|
|_____|_____________________________________________________________|
| D.3| Recoltarea unui produs patologic sau material pentru
|
|
| biopsie
|
|_____|_____________________________________________________________|
|
E.| Gastroenterologie
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
| E.1| Endoscopie digestiv superioar diagnostic (esofag,
|
|
| stomac, duoden)
|
|_____|_____________________________________________________________|
|__ F.| Hematologie
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
| F.1| Puncie-biopsie osoas cu amprent
|
|_____|_____________________________________________________________|
| F.2| Puncie aspirat de mduv osoas
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
G.| Nefrologie
|
|
| Consultaie i prim-ajutor
|
|_____|_____________________________________________________________|
| G.1| Examen electrocardiografic (efectuare)
|
|_____|_____________________________________________________________|
| G.2| Administrare intravenoas de medicamente
|
|_____|_____________________________________________________________|
| G.3| Recoltarea unui produs patologic sau material pentru
|
|
| biopsie
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
H.| Oncologie medical
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
| Consultaie i prim-ajutor
|
|_____|_____________________________________________________________|
| H.1| Infiltraii peridurale
|
|_____|_____________________________________________________________|
| H.2| Administrare intravenoas de medicamente
|
|_____|_____________________________________________________________|
| H.3| Recoltarea unui produs patologic sau material pentru
|
|
| biopsie
|
|_____|_____________________________________________________________|
| H.4| Bronhoscopie
|
|_____|_____________________________________________________________|
| H.5| Endoscopie digestiv superioar diagnostic (esofag,
|
|
| stomac, duoden)
|
|_____|_____________________________________________________________|
|
I.| Oftalmologie
|

|_____|_____________________________________________________________|
|
| Consultaia oftalmologic include i explorarea funciei
|
|
| aparatului lacrimal, determinarea acuitii vizuale,
|
|
| prescripia coreciei optice, examinare digital a
|
|
| tensiunii oculare, examinarea motilitii oculare,
|
|
| examen n lumin difuz
|
|_____|_____________________________________________________________|
| I.1| Biomicroscopia; gonioscopia; oftalmoscopia
|
|_____|_____________________________________________________________|
| I.2| Determinarea refraciei (skiascopie, refractometrie,
|
|
| autorefractometrie*), astigmometrie)
|
|_____|_____________________________________________________________|
| I.3| Explorarea cmpului vizual (perimetrie)
|
|_____|_____________________________________________________________|
| I.4| Explorarea funciei binoculare (test Worth, Maddox,
|
|
| sinoptofor) examen diplopie
|
|_____|_____________________________________________________________|
| I.5| Tonometrie; prob provocare; oftalmodinamometrie
|
|_____|_____________________________________________________________|
| I.6| Extracia corpilor strini
|
|_____|_____________________________________________________________|
| I.7| Recoltarea unui produs patologic sau material pentru
|
|
| biopsie
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
J.| Otorinolaringologie
|
|_____|_____________________________________________________________|
|
| Consultaia ORL include: examen nas-sinusuri, examen
|
|
| buco-faringoscopic, rinoscopie posterioar, examenul
|
|
| laringoscopic i hipofaringoscopic, examenul otoscopic,
|
|
| examen vestibular, examen nervi cranieni
|
|_____|_____________________________________________________________|
| J.1| Examen fibroscopic nas, cavum, laringe
|
|_____|_____________________________________________________________|
| J.2| Tamponament posterior
|
|_____|_____________________________________________________________|
| J.3| Puncie sinusal, lavaj, tratament local/caz
|
|_____|_____________________________________________________________|
| J.4| Extracie corpi strini
|
|_____|_____________________________________________________________|
| J.5| Tamponament anterior
|
|_____|_____________________________________________________________|
| J.6| Recoltarea unui produs patologic sau material pentru
|
|
| biopsie
|
|_____|_____________________________________________________________|
| J.7| Audiometrie la cti sau n cmp liber vocal sau tonal
|
|_____|_____________________________________________________________|
| J.8 | Foniatrie
|
|_____|_____________________________________________________________|
| J.9| Aerosoli/caz
|
|_____|_____________________________________________________________|
| J.10| Tratament chirurgical al sinechiei septo-turbinare
|
|_____|_____________________________________________________________|
| J.11| Impedana
|
|_____|_____________________________________________________________|
| J.12| Electrocauterizare sau cauterizarea mucoasei nazale
|
|_____|_____________________________________________________________|
| K. | Pneumologie
|
|_____|_____________________________________________________________|
| K.1| Bronhoscopie
|
|_____|_____________________________________________________________|
| K.2| Spirometrie
|
|_____|_____________________________________________________________|
| K.3| Spirogram + test farmacodinamic bronhomotor
|
|_____|_____________________________________________________________|
| K.4| Extragere bronhoscopic de corpi strini din cile
|
|
| respiratorii
|
|_____|_____________________________________________________________|
| K.5| Peakflow metrie
|
|_____|_____________________________________________________________|
| K.6| Aerosoli/caz (edin)
|
|_____|_____________________________________________________________|
| K.7| Teste cutanate (prick sau IDR) cu seturi standard de
|
|
| alergeni (maximum 8 teste inclusiv materialul pozitiv i
|

|
| negativ)
|
|_____|_____________________________________________________________|
| K.8| Teste de provocare nazal, ocular, bronic
|
|_____|_____________________________________________________________|
| K.9 | Recoltarea unui produs patologic sau material pentru biopsie|
|_____|_____________________________________________________________|
| K.10| Administrare intravenoas de medicamente
|
|_____|_____________________________________________________________|
|
L.| Psihiatrie
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
| Consultaia iniial include: anamnez, evaluare
|
|
| psihologic, stabilirea obiectivelor psihoterapeutice i a |
|
| metodelor de tratament; durat medie 30 de minute
|
|_____|_____________________________________________________________|
|
| Consultaia de control include: efectuarea i/sau
|
|
| interpretarea unor investigaii complementare specifice
|
|
| (examen psihologic: QI, anchet social, teste, scale
|
|
| clinice) i nespecifice, reevaluri, psihoeducaia
|
|
| pacientului, familial, terapie educaional; durat medie |
|
| 30 de minute
|
|_____|_____________________________________________________________|
| L.1| Examen ultrasonografic extracranian al aa Cervico-cerebrale |
|
| (Doppler, echotomografie i tehnici derivate)
|
|_____|_____________________________________________________________|
| L.2| Examen electroencefalografic standard
|
|_____|_____________________________________________________________|
| L.3| Examen electroencefalografic cu probe de stimulare
|
|_____|_____________________________________________________________|
| L.4| Examen electroencefalografic cu mapping
|
|_____|_____________________________________________________________|
| L.5| Video - electroencefalografie
|
|_____|_____________________________________________________________|
|
M.| Reumatologie
|
|_____|_____________________________________________________________|
| M.1| Infiltraii peridurale
|
|_____|_____________________________________________________________|
| M.2| Mezoterapie
|
|_____|_____________________________________________________________|
| M.3| Blocaje nervi periferici
|
|_____|_____________________________________________________________|
| M.4| Blocaje chimice pentru spasticitate (alcool, fenol, toxin |
|
| botulinic)
|
|_____|_____________________________________________________________|
| M.5| Efectuarea densimetriei osoase (ultrasunete)
|
|_____|_____________________________________________________________|
| M.6| Recoltarea unui produs patologic sau material pentru biopsie|
|_____|_____________________________________________________________|
| M.7| Administrare intravenoas de medicamente
|
|_____|_____________________________________________________________|
|
N.| Urologie
|
|_____|_____________________________________________________________|
|
| Consultaia de urologie include i montarea, nlocuirea i |
|
| scoaterea cateterelor sau sondelor uretrale
|
|_____|_____________________________________________________________|
| N.1| Recoltarea unui produs patologic sau material pentru biopsie|
|_____|_____________________________________________________________|
__________________________________________________________________
| N.2| Administrare intravenoas de medicamente
|
|_____|_____________________________________________________________|
|
O.| Medicin intern; geriatrie i gerontologie
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
| O.1| Administrare intravenoas de medicamente
|
|_____|_____________________________________________________________|
| O.2| Recoltarea unui produs patologic sau material pentru biopsie|
|_____|_____________________________________________________________|
| O.3| Aspiraie gastric diagnostic i terapeutic
|
|_____|_____________________________________________________________|
| O.4| Colonoscopie diagnostic
|
|_____|_____________________________________________________________|
| O.5| Examen electrocardiografic (efectuare)
|
|_____|_____________________________________________________________|
| O.6| Interpretare EKG continuu (24 ore, Holter)
|
|_____|_____________________________________________________________|
| O.7| Interpretare Holter TA
|

|_____|_____________________________________________________________|
| O.8| Oscilometrie
|
|_____|_____________________________________________________________|
| O.9| Endoscopie digestiv superioar diagnostic (esofag, stomac,|
|
| duoden)
|
|_____|_____________________________________________________________|
| O.10| Spirometrie
|
|_____|_____________________________________________________________|
| O.11| Spirogram + test farmacodinamic bronhomotor
|
|_____|_____________________________________________________________|
| O.12| Teste de provocare nazal, ocular, bronic
|
|_____|_____________________________________________________________|
| O.13| Aerosoli/caz (edin)
|
|_____|_____________________________________________________________|
| O.14| Examen electrocardiografic de efort (efectuare)
|
|_____|_____________________________________________________________|
| O.15| Extracie endoscopic corpi strini
|
|_____|_____________________________________________________________
| P. | Medicina muncii
|
|_____|_____________________________________________________________|
|
|
|
|
| Consultaia iniial de medicina muncii (anamneza, inclusiv anamneza
|
|
| profesional, examen clinic, stabilirea diagnosticului i instituirea
|
|
| tratamentului, precum i stabilirea oportunitii internrii). Recomandri
|
|
| privind reabilitarea medical, reorientarea i reinseria profesional.
|
|_____|_____________________________________________________________|
|
| Consultaia de control include efectuarea i/sau interpretarea unor investigaii
|
|
| complementare specifice, reevaluri, tratament etc. Recomandri privind
|
|
| reabilitarea medical, reorientarea i reinsertia profesionala.
|
|_____|_____________________________________________________________|
| P.1 | Peakflow metrie (efectuare, interpretare)
|
|_____|_____________________________________________________________|
| P.2 | Spirometrie (efectuare, interpretare)
|
|_____|_____________________________________________________________|
| P.3 | Aerosoli/caz (edin)
|
|_____|_____________________________________________________________|
| P.4 | Examen electrocardiografic (efectuare, interpretare).
|
|_____|_____________________________________________________________|
| P.5 | Oscilometrie
|
|_____|_____________________________________________________________|
| P.6 | Examen electromiografic (efectuare, interpretare).
|
|_____|_____________________________________________________________|
| P.7 | Audiometrie la cti (tonal) (efectuare, interpretare).
|
|_____|_____________________________________________________________|
| P.8 | Administrare de medicamente (im, iv, sc, po)
|
|_____|_____________________________________________________________|
| P.9 | Examen ecografic general (abdomen i pelvis)
|
|
| (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.10 | Evaluare psihologic.
|
|_____|_____________________________________________________________|
|P.11 | Psihoterapie.
|
|_____|_____________________________________________________________|
|P.12 | Probe funcionale cardiovasculare n medicina muncii
|
|
|(efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.13 | Acordarea asistenei medicale de urgen pentru cazurile de
|
|
| urgen medico-chirurgical.
|
|_____|_____________________________________________________________|
|P.14 | Transfer alveolo-capilar (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.15 | Gazometrie (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.16 | Pletismografie (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.17 | Interpretare de radiografii pulmonare prin comisia de pneumoconioze.
|
|_____|_____________________________________________________________|
|P.18 | Testul presor la rece (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.19 | Testul de provocare la rece (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.20 | Teste cutanate (prick, patch sau IDR) cu seturi standard de alergeni inclusiv
|
|
| profesionali - (maximum 8 teste inclusiv materialul pozitiv i negativ)
|
|
| (efectuare, interpretare).
|

|_____|_____________________________________________________________|
|P.21 | Teste de provocare nazal, ocular, bronic (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.22 | Teste cutanate la ageni fizici (maximum 4 teste) (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.23 | Spirogram + test farmacodinamic bronhomotor (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|
| Q | Acupunctura (consultaie i proceduri)
|
|___________________________________________________________________|
| R | Homeopatie, fitoterapie(consultaie iniial i
|
|
| consultaii de control)
|
| ____|_____________________________________________________________|

2. ANALIZE BIOLOGICE I INVESTIGAII PARACLINICE:

_________________________________________________________________
|Nr.
|
Cod
|
Denumirea analizei
|
|crt. |
|
|
|______|_______________________|_________________________________|
|
|
|
- Hematologie
|
|________________________________________________________________|
| 1
| 2 | . | 8 | 0 | 7 | 0 | Hemoleucograma complet |
|
|
|
|
|
|
|
| hemoglobin, hematocrit,
|
|
|
|
|
|
|
|
| numrtoare eritrocite,
|
|
|
|
|
|
|
|
| numrtoare leucocite,
|
|
|
|
|
|
|
|
| numrtoare trombocite,
|
|
|
|
|
|
|
|
| formula leucocitar, indici
|
|
|
|
|
|
|
|
| eritrocitari
|
|______|___|___|___|___|___|___|_________________________________|
| 2
| 2 | . | 8 | 0 | 4 | 0 | Numrtoare reticulocite
|
|______|___|___|___|___|___|___|_________________________________|
| 3
| 2 | . | 8 | 0 | 3 | 0 | Examen citologic al frotiului
|
|
|
|
|
|
|
|
| sanguin
|
|______|___|___|___|___|___|___|_________________________________|
| 4
| 2 | . | 8 | 1 | 0 | 0 | VSH
|
|______|___|___|___|___|___|___|_________________________________|
| 5
| 2 | . | 8 | 6 | 0 | 1 | Timp de coagulare
|
|______|___|___|___|___|___|___|_________________________________|
| 6
| 2 | . | 8 | 6 | 0 | 2 | Timp de sngerare
|
|______|___|___|___|___|___|___|_________________________________|
| 7
| 2 | . | 8 | 6 | 2 | 1 | Timp Quick, activitate de
|
|
|
|
|
|
|
|
| protrombin
|
|______|___|___|___|___|___|___|_________________________________|
| 8
| 2 | . | 8 | 6 | 0 | 3 | INR
(International Normalised|
|
|
|
|
|
|
|
| Ratio)
|
|______|___|___|___|___|___|___|_________________________________|
| 9
| 2 | . | 8 | 6 | 2 | 2 | APTT
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
|
- Biochimie
|
|________________________________________________________________|
| 10
| 2 | . | 1 | 1 | 2 | 0 | Uree seric
|
|______|___|___|___|___|___|___|_________________________________|
| 11
| 2 | . | 1 | 1 | 3 | 0 | Acid uric seric
|
|______|___|___|___|___|___|___|_________________________________|
________________________________________________________________
| 12
| 2 | . | 1 | 1 | 4 | 0 | Creatinin seric
|
|______|___|___|___|___|___|___|_________________________________|
| 13
| 2 | . | 1 | 5 | 1 | 0 | Calciu ionic seric
|
|______|___|___|___|___|___|___|_________________________________|
| 14
| 2 | . | 1 | 5 | 1 | 1 | Calciu seric total
|
|______|___|___|___|___|___|___|_________________________________|
| 15
| 2 | . | 1 | 5 | 7 | 0 | Magneziemie
|
|______|___|___|___|___|___|___|_________________________________|
| 16
| 2 | . | 8 | 3 | 9 | 0 | Sideremie
|
|______|___|___|___|___|___|___|_________________________________|
| 17
| 2 | . | 1 | 3 | 1 | 0 | Glicemie
|
|______|___|___|___|___|___|___|_________________________________|
| 18
| 2 | . | 1 | 4 | 2 | 0 | Colesterol seric total
|

|______|___|___|___|___|___|___|_________________________________|
| 19
| 2 | . | 1 | 4 | 0 | 4 | Trigliceride serice
|
|______|___|___|___|___|___|___|_________________________________|
| 20
| 2 | . | 1 | 4 | 4 | 1 | HDL colesterol (numai n HTA i |
|
|
|
|
|
|
|
|obezitate i dislipidemii la copii
|
|______|___|___|___|___|___|___|_________________________________|
| 21
| 2 | . | 1 | 4 | 4 | 3 | LDL (numai n HTA i obezitate |
|
|
|
|
|
|
|
| i dislipidemii la copii
|
|______|___|___|___|___|___|___|_________________________________|
| 22
| 2 | . | 1 | 4 | 0 | 0 | Lipide totale serice
|
|______|___|___|___|___|___|___|_________________________________|
| 22
| 2 | . | 1 | 0 | 2 | 0 | Proteine totale serice
|
|______|___|___|___|___|___|___|_________________________________|
| 23
| 2 | . | 4 | 6 | 0 | 0 | TGO
|
|______|___|___|___|___|___|___|_________________________________|
| 24
| 2 | . | 4 | 6 | 1 | 0 | TGP
|
|______|___|___|___|___|___|___|_________________________________|
| 25
| 2 | . | 4 | 7 | 2 | 0 | Fosfataz alcalin
|
|______|___|___|___|___|___|___|_________________________________|
| 26
| 2 | . | 3 | 2 | 1 | 0 | Fibrinogenemie
|
|______|___|___|___|___|___|___|_________________________________|
| 27
| 2 | . | 4 | 6 | 8 | 0 | Gama GT
|
|______|___|___|___|___|___|___|_________________________________|
| 28
| 2 | . | 4 | 5 | 0 | 0 | LDH
|
|______|___|___|___|___|___|___|_________________________________|
| 29
| 2 | . | 1 | 1 | 5 | 0 | Bilirubin total; direct
|
|______|___|___|___|___|___|___|_________________________________|
| 30
| 2 | . | 4 | 9 | 6 | 1 | Electroforeza proteinelor
|
|
|
|
|
|
|
|
| serice
|
|______|___|___|___|___|___|___|_________________________________|
| 31
| 2 | . | 4 | 9 | 6 | 2 | Electroforeza lipidelor serice |
|______|___|___|___|___|___|___|_________________________________|
| 32
| 2 | . | 6 | 0 | 2 | 1 | VDRL
|
|______|___|___|___|___|___|___|_________________________________|
| 33
| 2 | . | 6 | 0 | 2 | 2 | RPR
|
|______|___|___|___|___|___|___|_________________________________|
| 34
| 2 | . | 6 | 0 | 2 | 3 | Confirmare TPHA
|
|______|___|___|___|___|___|___|_________________________________|
| 35
| 2 | . | 2 | 4 | 0 | 0 | Test Gutthrie
|
|______|___|___|___|___|___|___|_________________________________|
| 36
| 2 | . | 1 | 0 | 2 | 6 | Hemoglobin glicozilat
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
Imunologie
|
_________________________________________________________________|
| 37
| 2 | . | 6 | 2 | 5 | 0 | ASLO
|
|______|___|___|___|___|___|___|_________________________________|
| 38
| 2 | . | 6 | 6 | 9 | 2 | Factor rheumatoid
|
|______|___|___|___|___|___|___|_________________________________|
| 39
| 2 | . | 6 | 6 | 9 | 1 | Proteina C reactiv
|
|______|___|___|___|___|___|___|_________________________________|
| 40
| 2 | . | 6 | 7 | 3 | 1 | IgA, seric
|
|______|___|___|___|___|___|___|_________________________________|
| 41
| 2 | . | 6 | 7 | 3 | 2 | IgE seric
|
|______|___|___|___|___|___|___|_________________________________|
| 42
| 2 | . | 6 | 7 | 3 | 3 | IgM seric
|
|______|___|___|___|___|___|___|_________________________________|
| 43
| 2 | . | 6 | 7 | 3 | 4 | IgG seric
|
|______|___|___|___|___|___|___|_________________________________|
| 44
| 2 | . | 5 | 5 | 4 | 0 | Imunofixare
|
|______|___|___|___|___|___|___|_________________________________|
| 45
| 2 | . | 6 | 7 | 8 | 0 | Crioglobuline
|
|______|___|___|___|___|___|___|_________________________________|
| 46
| 2 | . | 1 | 0 | 9 | 1 | Complement seric
|
|______|___|___|___|___|___|___|_________________________________|
| 47
| 2 | . | 6 | 2 | 0 | 5 | Depistare Chlamydii
|
|______|___|___|___|___|___|___|_________________________________|
| 48
| 2 | . | 6 | 2 | 0 | 6 | Depistare Helicobacter Pylori
|
|______|___|___|___|___|___|___|_________________________________|
| 49
| 2 | . | 5 | 5 | 6 | 0 | Testare HIV
|
|______|___|___|___|___|___|___|_________________________________|
| 50
| 2 | . | 4 | 0 | 6 | 0 | TSH
|
|______|___|___|___|___|___|___|_________________________________|
| 51
| 2 | . | 4 | 0 | 4 | 0 | FT4
|
|______|___|___|___|___|___|___|_________________________________|
| 52
| 2 | . | 6 | 3 | 9 | 1 | Ag Hbe
|

|______|___|___|___|___|___|___|_________________________________|
| 53
| 2 | . | 6 | 3 | 9 | 2 | Ag HBs (screening)
|
|______|___|___|___|___|___|___|_________________________________|
| 54
| 2 | . | 6 | 2 | 0 | 1 | Anti-HAV IgM
|
|______|___|___|___|___|___|___|_________________________________|
| 55
| 2 | . | 6 | 2 | 0 | 2 | Anti-HBc
|
|______|___|___|___|___|___|___|_________________________________|
| 56
| 2 | . | 6 | 2 | 0 | 3 | Anti-Hbe
|
|______|___|___|___|___|___|___|_________________________________|
| 57
| 2 | . | 6 | 2 | 0 | 4 | Anti HCV
|
|______|___|___|___|___|___|___|_________________________________|
| 58
| 2 | . | 4 | 1 | 3 | 0 | STH cu stimulare
|
|______|___|___|___|___|___|___|_________________________________|
| 59
| 2 | . | 4 | 3 | 2 | 1 | FSH
|
|______|___|___|___|___|___|___|_________________________________|
| 60
| 2 | . | 4 | 3 | 2 | 2 | LH
|
|______|___|___|___|___|___|___|_________________________________|
| 61
| 2 | . | 4 | 3 | 2 | 3 | Estradiol
|
|______|___|___|___|___|___|___|_________________________________|
| 62
| 2 | . | 4 | 3 | 0 | 0 | Cortizol
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Exudat faringian
|
|________________________________________________________________|
| 63
| 2 | . | 5 | 0 | 6 | 1 | Cultur
(inclusiv
|
|
|
|
|
|
|
|
| antibiograma pentru culturi
|
|
|
|
|
|
|
|
| pozitive)
|
|______|___|___|___|___|___|___|_________________________________|
| 64
| 2 | . | 7 | 0 | 1 | 1 | Cultur fungi
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Examene sput
|
|________________________________________________________________|
| 65
| 2 | . | 5 | 0 | 0 | 1 | Examen microscopic nativ
|
|______|___|___|___|___|___|___|_________________________________|
| 66
| 2 | . | 5 | 0 | 4 | 1 | Examen microscopic colorat |
|
|
|
|
|
|
|
| Ziehl Neelsen
|
|______|___|___|___|___|___|___|_________________________________|
| 67
| 2 | . | 5 | 0 | 3 | 1 | Examen microscopic colorat Gram |
|______|___|___|___|___|___|___|_________________________________|
| 68
| 2 | . | 5 | 0 | 6 | 2 | Cultur (inclusiv
|
|
|
|
|
|
|
|
| antibiograma pentru culturi
|
|
|
|
|
|
|
|
| pozitive)
|
|______|___|___|___|___|___|___|_________________________________|
| 69
| 2 | . | 7 | 0 | 1 | 2 | Cultur fungi
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Analize de urin
|
|________________________________________________________________|
| 70
| 2 | . | 3 | 4 | 5 | 0 | Examen complet de urin
|
|
|
|
|
|
|
|
| (sumar + sediment)
|
|______|___|___|___|___|___|___|_________________________________|
| 71
| 2 | . | 5 | 0 | 4 | 2 | Examen microscopic colorat |
|
|
|
|
|
|
|
| Ziehl Neelsen
|
|______|___|___|___|___|___|___|_________________________________|
| 72
| 2 | . | 5 | 0 | 6 | 3 | Urocultur
(inclusiv
|
|
|
|
|
|
|
|
| antibiograma pentru culturi
|
|
|
|
|
|
|
|
| pozitive)
|
|______|___|___|___|___|___|___|_________________________________|
| 73
| 2 | . | 2 | 2 | 0 | 0 | Determinare glucoz urinar
|
|______|___|___|___|___|___|___|_________________________________|
| 74
| 2 | . | 2 | 0 | 3 | 0 | Determinare proteine urinare
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Examene materii fecale
|
|________________________________________________________________|
| 75
| 2 | . | 7 | 1 | 2 | 0 | Examen coproparazitologic
|
|
|
|
|
|
|
|
| (3 probe)
|
|______|___|___|___|___|___|___|_________________________________|
| 76
| 2 | . | 5 | 0 | 6 | 4 | Coprocultur
(inclusiv
|
|
|
|
|
|
|
|
| antibiograma pentru culturi
|
|
|
|
|
|
|
|
| pozitive)
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Examene din secreii uretrale, vaginale, otice, nazale,
conjunctivale i puroi
|

|________________________________________________________________|
| 77
| 2 | . | 5 | 0 | 3 | 2 | Examen microscopic colorat
|
|______|___|___|___|___|___|___|_________________________________|
| 78
| 2 | . | 5 | 0 | 6 | 6 | Cultur (inclusiv antibiograma |
|
|
|
|
|
|
|
| pentru culturi pozitive)
|
|______|___|___|___|___|___|___|_________________________________|
| 79
| 2 | . | 5 | 0 | 7 | 0 | Cultur germeni anaerobi
|
|
|
|
|
|
|
|
| (inclusiv antibiograma pentru
|
|
|
|
|
|
|
|
| culturi pozitive)
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Examen lichid puncie
|
|________________________________________________________________|
| 80
| 2 | . | 5 | 0 | 3 | 3 | Examen microscopic/frotiu
|
|______|___|___|___|___|___|___|_________________________________|
| 81
| 2 | . | 5 | 0 | 6 | 7 | Cultur (inclusiv antibiograma |
|
|
|
|
|
|
|
| pentru culturi pozitive)
|
|______|___|___|___|___|___|___|_________________________________|
| 82
| 2 | . | 9 | 1 | 7 | 0 | Citodiagnostic lichid puncie
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Examen sudoare
|
|________________________________________________________________|
| 83
| 2 | . | 2 | 8 | 4 | 0 | Ionoforez pilocarpinic
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Examinri histopatologice
|
|________________________________________________________________|
| 84
| 2 | . | 9 | 0 | 0 | 0 | Pies prelucrat la parafin
|
|______|___|___|___|___|___|___|_________________________________|
| 85
| 2 | . | 9 | 0 | 2 | 1 | Bloc inclus la parafin cu
|
|
|
|
|
|
|
|
| diagnostic histopatologic
|
|______|___|___|___|___|___|___|_________________________________|
| 86
| 2 | . | 9 | 0 | 2 | 0 | Diagnostic histopatologic pe
|
|
|
|
|
|
|
|
| lam
|
|______|___|___|___|___|___|___|_________________________________|
| 87
| 2 | . | 9 | 0 | 1 | 0 | Examen histopatologic cu
|
|
|
|
|
|
|
|
| coloraii speciale
|
|______|___|___|___|___|___|___|_________________________________|
| 88
| 2 | . | 9 | 0 | 2 | 2 | Citodiagnostic sput prin
|
|
|
|
|
|
|
|
| incluzii parafin
|
|______|___|___|___|___|___|___|_________________________________|
| 89
| 2 | . | 9 | 0 | 2 | 4 | Examen citohormonal
|
|______|___|___|___|___|___|___|_________________________________|
| 90
| 2 | . | 9 | 0 | 2 | 5 | Citodiagnostic lichid de puncie|
|______|___|___|___|___|___|___|_________________________________|
| 91
| 2 | . | 9 | 0 | 3 | 0 | Teste imunohistochimice
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
- Examinri radiologice
|
|________________________________________________________________|
| 92
|
|
|
|
|
|
| Radiografie cranian standard
|
|
|
|
|
|
|
|
| n 2 planuri
|
|______|___|___|___|___|___|___|_________________________________|
| 93
|
|
|
|
|
|
| Radiografie cranian n
|
|
|
|
|
|
|
|
| proiecie special
|
|______|___|___|___|___|___|___|_________________________________|
| 94
|
|
|
|
|
|
| Ex. radiologic pri ale
|
|
|
|
|
|
|
|
| scheletului n 2 planuri
|
|______|___|___|___|___|___|___|_________________________________|
| 95
|
|
|
|
|
|
| Ex. radiologic torace osos sau |
|
|
|
|
|
|
|
| pri ale lui n mai multe
|
|
|
|
|
|
|
|
| planuri
|
|______|___|___|___|___|___|___|_________________________________|
| 96
|
|
|
|
|
|
| Ex. radiologic centur
|
|
|
|
|
|
|
|
| scapular sau pelvin fr
|
|
|
|
|
|
|
|
| substan de contrast
|
|______|___|___|___|___|___|___|_________________________________|
| 97
|
|
|
|
|
|
| Ex. radiologic pri ale
|
|
|
|
|
|
|
|
| coloanei vertebrale, mai
|
|
|
|
|
|
|
|
| puin coloana cervical
|
|______|___|___|___|___|___|___|_________________________________|
| 98
|
|
|
|
|
|
| Ex. radiologic alte articulaii |
|
|
|
|
|
|
|
| fr substan de contrast sau |
|
|
|
|
|
|
|
| funcionale cu TV
|
|______|___|___|___|___|___|___|_________________________________|

| 99
|
|
|
|
|
|
| Ex. radiologic coloana
|
|
|
|
|
|
|
|
| vertebral complet, mai puin |
|
|
|
|
|
|
|
| coloana cervical
|
|______|___|___|___|___|___|___|_________________________________|
|100
|
|
|
|
|
|
| Ex. radiologic coloana cervical|
|
|
|
|
|
|
|
| n cel puin 3 planuri
|
|______|___|___|___|___|___|___|_________________________________|
|101
|
|
|
|
|
|
| Ex. radiologic torace ansamblu |
|
|
|
|
|
|
|
| inclusiv ex. Rx.-scopic
|
|
|
|
|
|
|
|
| (eventual cu bol opac)
|
|______|___|___|___|___|___|___|_________________________________|
|102
|
|
|
|
|
|
| Ex. radiologic organe ale
|
|
|
|
|
|
|
|
| gtului sau ale planeului
|
|
|
|
|
|
|
|
| bucal
|
|______|___|___|___|___|___|___|_________________________________|
|103
|
|
|
|
|
|
| Ex. radiologic torace i organe |
|
|
|
|
|
|
|
| ale toracelui
|
|______|___|___|___|___|___|___|_________________________________|
|104
|
|
|
|
|
|
| Ex. radiologic de vizualizare
|
|
|
|
|
|
|
|
| general a abdomenului nativ n |
|
|
|
|
|
|
|
| cel puin 2 planuri
|
|______|___|___|___|___|___|___|_________________________________|
|105
|
|
|
|
|
|
| Ex. radiologic esofag ca
|
|
|
|
|
|
|
|
| serviciu independent, inclusiv |
|
|
|
|
|
|
|
| radioscopie
|
|______|___|___|___|___|___|___|_________________________________|
|106
|
|
|
|
|
|
| Ex. radiologic tract digestiv
|
|
|
|
|
|
|
|
| superior (inclusiv unghiul
|
|
|
|
|
|
|
|
| duodenojejunal) cu substan de |
|
|
|
|
|
|
|
| contrast nonionic
|
|______|___|___|___|___|___|___|_________________________________|
|107
|
|
|
|
|
|
| Ex. radiologic tract digestiv
|
|
|
|
|
|
|
|
| cu ntinderea examinrii pn
|
|
|
|
|
|
|
|
| la regiunea ileo-cecal,
|
|
|
|
|
|
|
|
| inclusiv substana
|
|______|___|___|___|___|___|___|_________________________________|
|108
|
|
|
|
|
|
| Ex. radiologic colon n dublu
|
|
|
|
|
|
|
|
| contrast sau intestin subire
|
|
|
|
|
|
|
|
| pe sonda duodenal
|
|______|___|___|___|___|___|___|_________________________________|
|109
|
|
|
|
|
|
| Ex. radiologic tract urinar
|
|
|
|
|
|
|
|
| (urografie minutat) cu
|
|
|
|
|
|
|
|
| substan de contrast nonionic |
|______|___|___|___|___|___|___|_________________________________|
|110
|
|
|
|
|
|
| Examen radiologic retrograd de |
|
|
|
|
|
|
|
| uretr sau vezic urinar cu
|
|
|
|
|
|
|
|
| substan de contrast nonionic |
|______|___|___|___|___|___|___|_________________________________|
|111
|
|
|
|
|
|
| Cistografie de reflux cu
|
|
|
|
|
|
|
|
| substan de contrast nonionic |
|______|___|___|___|___|___|___|_________________________________|
|112
|
|
|
|
|
|
| Ex. radiologic uretr, vezic
|
|
|
|
|
|
|
|
| urinar la copil cu substan de|
|
|
|
|
|
|
|
| contrast nonionic
|
|______|___|___|___|___|___|___|_________________________________|
|113
|
|
|
|
|
|
| Pielografie
|
|______|___|___|___|___|___|___|_________________________________|
|114
|
|
|
|
|
|
| Flebografia de extremiti
|
|______|___|___|___|___|___|___|_________________________________|
|115
|
|
|
|
|
|
| Tomografia plan
|
|______|___|___|___|___|___|___|_________________________________|
|116
|
|
|
|
|
|
| Angiografia carotidian
|
|
|
|
|
|
|
|
|
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
|
|
|
| Angiografia RM trunchiuri
|
|117
|
|
|
|
|
|
| supraaortice
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
|
|
|
| Angiografia RM artere renale
|
|118
|
|
|
|
|
|
| sau aorta
|
|______|___|___|___|___|___|___|_________________________________|
|119
|
|
|
|
|
|
| P.E.G.
|
|______|___|___|___|___|___|___|_________________________________|
|120
|
|
|
|
|
|
| CT craniu nativ i cu substan |
|
|
|
|
|
|
|
| de contrast nonionic
|
|______|___|___|___|___|___|___|_________________________________|
|121
|
|
|
|
|
|
| CT regiune gt nativ i cu
|

10

|
|
|
|
|
|
|
| substan de contrast nonionic|
|______|___|___|___|___|___|___|_________________________________|
|122
|
|
|
|
|
|
| CT regiune toracic nativ i
|
|
|
|
|
|
|
|
| cu substan de contrast
|
|______|___|___|___|___|___|___|_nonionic ______________________|
|123
|
|
|
|
|
|
| CT abdomen nativ i cu substan|
|
|
|
|
|
|
|
| de contrast (nonionic) adm.
|
|
|
|
|
|
|
|
| intravenos
|
|______|___|___|___|___|___|___|_________________________________|
|124
|
|
|
|
|
|
| CT pelvis nativ i cu substan |
|
|
|
|
|
|
|
| de contrast (nonionic) adm.
|
|
|
|
|
|
|
|
| intravenos
|
|______|___|___|___|___|___|___|_________________________________|
|125
|
|
|
|
|
|
| CT coloan vertebral nativ i |
|
|
|
|
|
|
|
| cu substan de contrast
|
|
|
|
|
|
|
|
| nonionic/segment
|
|______|___|___|___|___|___|___|_________________________________|
|126
|
|
|
|
|
|
| CT membre cu substan nativ i |
|
|
|
|
|
|
|
| de contrast nonionic/ segment |
|______|___|___|___|___|___|___|_________________________________|
|127
|
|
|
|
|
|
| Ecografie general (abdomen +
|
|
|
|
|
|
|
|
| pelvis)
|
|______|___|___|___|___|___|___|_________________________________|
|128
|
|
|
|
|
|
| Ecografie abdomen
|
|______|___|___|___|___|___|___|_________________________________|
|129
|
|
|
|
|
|
| Ecografie pelvis
|
|______|___|___|___|___|___|___|_________________________________|
|130
|
|
|
|
|
|
| Radioscopie
|
|
|
|
|
|
|
|
| cardiopulmonar
|
|______|___|___|___|___|___|___|_________________________________|
|131
|
|
|
|
|
|
| CT craniu fr substan de
|
|
|
|
|
|
|
|
| contrast nonionic
|
|______|___|___|___|___|___|___|_________________________________|
|132
|
|
|
|
|
|
| CT regiune gt fr substan
|
|
|
|
|
|
|
|
| de contrast nonionic
|
|______|___|___|___|___|___|___|_________________________________|
|133
|
|
|
|
|
|
| CT regiune toracic fr
|
|
|
|
|
|
|
|
| substan de contrast nonionic |
|______|___|___|___|___|___|___|_________________________________|
|134
|
|
|
|
|
|
| CT abdomen fr substan de
|
|
|
|
|
|
|
|
| contrast (nonionic) adm.
|
|
|
|
|
|
|
|
| intravenos
|
|______|___|___|___|___|___|___|_________________________________|
|135
|
|
|
|
|
|
| CT pelvis fr substan de
|
|
|
|
|
|
|
|
| contrast (nonionic) adm.
|
|
|
|
|
|
|
|
| intravenos
|
|______|___|___|___|___|___|___|_________________________________|
|136
|
|
|
|
|
|
| CT coloan vertebral
|
|
|
|
|
|
|
|
| fr substan de contrast
|
|
|
|
|
|
|
|
| nonionica/ segment
|
|______|___|___|___|___|___|___|_ _______________________________|
|137
|
|
|
|
|
|
| CT membre/segment
|
|______|___|___|___|___|___|___|_fr substan de contrast _____|
|138
|
|
|
|
|
|
| Radiografie de membre
|
|______|___|___|___|___|___|___|_________________________________|
|139
|
|
|
|
|
|
| EKG
|
|______|___|___|___|___|___|___|_________________________________|
|140
|
|
|
|
|
|
| Spirometrie
|
|______|___|___|___|___|___|___|_________________________________|
|141
|
|
|
|
|
|
| Spirograma + test farmacodinamic|
|
|
|
|
|
|
|
| bronhomotor
|
|______|___|___|___|___|___|___|_________________________________|
|142
|
|
|
|
|
|
| Oscilometrie
|
|143
|
|
|
|
|
|
| EEG
|
|______|___|___|___|___|___|___|_________________________________|
|144
|
|
|
|
|
|
| Electromiografie
|
|______|___|___|___|___|___|___|_________________________________|
|145
|
|
|
|
|
|
| Peak-flowmetrie
|
|______|___|___|___|___|___|___|_________________________________|
|146
|
|
|
|
|
|
| Endoscopie gastro-duodenal
|
|______|___|___|___|___|___|___|_________________________________|
|147
|
|
|
|
|
|
| Ecocardiografie M + 2 D
|
|______|___|___|___|___|___|___|_________________________________|
|148
|
|
|
|
|
|
| Ecocardiografie + Doppler
|
|______|___|___|___|___|___|___|_________________________________|

11

|149
|
|
|
|
|
|
| Ecocardiografie + Doppler color |
|______|___|___|___|___|___|___|_________________________________|
|150
|
|
|
|
|
|
| Ecografie de vase (vene)
|
|______|___|___|___|___|___|___|_________________________________|
|151
|
|
|
|
|
|
| Ecografie de vase (artere)
|
|______|___|___|___|___|___|___|_________________________________|
|152
|
|
|
|
|
|
| Ecocardiografie
|
|______|___|___|___|___|___|___|_________________________________|
|153
|
|
|
|
|
|
| Ecografie de organ
|
|______|___|___|___|___|___|___|_________________________________|
|154
|
|
|
|
|
|
| Scintigrafia: osoas, renal,
|
|
|
|
|
|
|
|
| hepatic, tiroidian, a cilor |
|
|
|
|
|
|
|
| biliare, cardiac
|
|______|___|___|___|___|___|___|_________________________________|
|155
|
|
|
|
|
|
| RMN cranio-cerebral nativ
|
|______|___|___|___|___|___|___|_________________________________|
|156
|
|
|
|
|
|
| RMN regiuni coloana vertebrala |
(cervical, toracala etc.) nativ |
|______|___|___|___|___|___|___|_________________________________|
|157
|
|
|
|
|
|
| RMN abdominal nativ
|
|______|___|___|___|___|___|___|_________________________________|
|158
|
|
|
|
|
|
| RMN pelvin nativ
|
|______|___|___|___|___|___|___|_________________________________|
|159
|
|
|
|
|
|
| RMN extremiti nativ/segment
|
|
|
|
|
|
|
|
| (genunchi,cot, glezn etc.)
|
|______|___|___|___|___|___|___|_ _______________________________|
|160
|
|
|
|
|
|
| RMN extrem.nativ/seg.(genunchi, |
|
|
|
|
|
|
|
|(cot,gleznetc.)cu subst.contrast|
|______|___|___|___|___|___|___|_________________________________|
|161
|
|
|
|
|
|
| RMN umr nativ
|
|______|___|___|___|___|___|___|_________________________________|
|162
|
|
|
|
|
|
| RMN umr nativ i cu subst.
|
|______|___|___|___|___|___|___|_de contrast_____________________|
|163
|
|
|
|
|
|
| RMN cranio-cerebral nativ i
cu contrast
|
|______|___|___|___|___|___|___|_________________________________|
|164
|
|
|
|
|
|
| RMN regiuni coloana vertebrala |
|
(cervical, toracala etc.)nativ|
|
si cu substan de contrast
|
|______|___|___|___|___|___|___|_________________________________|
|165
|
|
|
|
|
|
| RMN abdominal nativ i cu
|
|______|___|___|___|___|___|___|__substan de contrast _________|
|166
|
|
|
|
|
|
| RMN pelvin nativ i cu
|
|______|___|___|___|___|___|___|_substan de contrast __________|
|167
|
|
|
|
|
|
| Osteodensitometrie DEXA
|
|______|___|___|___|___|___|___|_________________________________|
|168
|
|
|
|
|
|
| Electrocardiografie continu
|
|
|
|
|
|
|
|
| (24 de ore, Holter)
|
|______|___|___|___|___|___|___|_________________________________|
|169
|
|
|
|
|
|
| Holter TA
|
|______|___|___|___|___|___|___|_________________________________|
|170
|
|
|
|
|
|
| Ecocardiografie transesofagian |
|______|___|___|___|___|___|___|_________________________________|

3.SERVICII MEDICALE DE SPECIALITATE: RECUPERARE REABILITARE A

SNTII
______________________________________________________________
|Nr. |
Serviciu medical
|
|crt.|
|
|____|_________________________________________________________|
|
|
Consultaia va cuprinde i
|
|
| bilan articular, bilan muscular,
|

12

|
| ntocmirea planului de recuperare:
|
|____|_________________________________________________________|
| 1.| Consultaia iniial
|
|____|_________________________________________________________|
| 2.| Consultaie de control
|
|____|_________________________________________________________|
| 3.| Oscilometrie
|
|____|_________________________________________________________|
| 4.| Infiltraie n structuri ale esutului moale
|
|____|_________________________________________________________|
| 5.| Puncie i infiltraie intraarticular
| |____|
________________________________________________________ |
| 6.| Kinetoterapie de grup pe afeciuni
|
|____|_________________________________________________________|
| 7.| Galvanizare
|
|____|_________________________________________________________|
| 8.| Ionizare
|
|____|_________________________________________________________|
| 9.| Cureni diadinamici
|
|____|_________________________________________________________|
| 10.| Trabert
|
|____|_________________________________________________________|
| 11.| TENS
|
|____|_________________________________________________________|
| 12.| Cureni interfereniali
|
|____|_________________________________________________________|
| 13.| Unde scurte
|
|____|_________________________________________________________|
| 14.| Microunde
|
|____|_________________________________________________________|
| 15.| Diapuls
|
|____|_________________________________________________________|
| 16.| Ultrasunet
|
|____|_________________________________________________________|
| 17.| Sonodynator
|
|____|_________________________________________________________|
| 18.| Magnetoterapie
|
|____|_________________________________________________________|
| 19.| Laser-terapie
|
|____|_________________________________________________________|
| 20.| Solux
|
|____|_________________________________________________________|
| 21.| Ultraviolete
|
|____|_________________________________________________________|
|
| Stimulri electrice:
|
|____|_________________________________________________________|
| 22.| Cureni cu impulsuri rectangulare
|
|____|_________________________________________________________|
| 23.| Cureni cu impulsuri exponeniale
|
|____|_________________________________________________________|
| 24.| Contracia izometric electric
|
|____|_________________________________________________________|
| 25.| Stimulare electric funcional
|
|____|_________________________________________________________|
| 26.| Bi Stanger
|
|____|_________________________________________________________|
| 27.| Bi galvanice
|
|____|_________________________________________________________|
| 28.| Du subacval
|
|____|_________________________________________________________|
| 29.| Aplicaii cu parafin
| |____|
_______________________________________________________ _|
| 30.| Bi sau pensulaii cu parafin
|
|____|_________________________________________________________|
| 31.| Masaj regional
|
|____|_________________________________________________________|
| 32.| Masaj segmentar
|
|____|_________________________________________________________|
| 33.| Masaj reflex
|
|____|_________________________________________________________|
| 34.| Limfmasaj
|
|____|_________________________________________________________|
| 35.| Aerosoli individuali
|
|____|_________________________________________________________|
| 36.| Pulverizaie camer
|
|____|_________________________________________________________|

13

| 37.| Hidrokinetoterapie individual general

|
|____|_________________________________________________________|
| 38.| Hidrokinetoterapie parial
|
|____|_________________________________________________________|
| 39.| Kinetoterapie individual
|
|____|_________________________________________________________|
| 40.| Traciuni vertebrale i articulare
|
|____|_________________________________________________________|
| 41.| Manipulri vertebrale
|
|____|_________________________________________________________|
| 42.| Manipulri articulaii periferice
|
|____|_________________________________________________________|
| 43.| Kinetoterapie cu aparatur special covor rulant,
|
|
| biciclet ergometrica, elcometre, bac vaslit
|
|____|_________________________________________________________|

4. ANALIZE BIOTOXICOLOGICE NECESARE SUSINERII DIAGNOSTICULUI

DE PROFESIONALITATE
Nr.
crt.
1.
2.
3.
4.
5.

Acetona
Alcool izopropilic
Alcool metilic
Aluminiu
Aldrin

6.

Anilina

7.
8.

Antimoniu (Stibiu)
Arsen i AsH3

9.

Benzen

10.
11.
12.

Benzidina
Beriliu
Bromura de metil
Cadmiu i compui
anorganici

13.

Noxa chimica

14.

Clorbenzen

15.

Clorura de metilen

28.
29.
30.
31.
32.
33.
34.

Compusi cian (acid

cianhidric, cianuri i
cianogen)
Crom
Cobalt
DDT
Dieldrin
1,4-diclor benzen
N,N-dimetil acetamida
N,N-dimetil formamida
Etilbenzen
Fenol
Fluor - compui
Halotan (2-brom-2-clor1,1,1 trifluoretan)
Hexaclorbenzen
N-hexan
Hidrazina
Lindan
Mangan
Mercur i compui
Metiletilcetona

35.

Metilcloroform

36.

Nichel

37.

Nichel carbonil

16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.

Indicator biotoxicologic

Material biologic

Acetona
Acetona
Metanol
Aluminiu
Aldrin
p-Amino-fenol
Methemoglobina
Antimoniu
Arsen
Acid S-fenil-mercapturic
Fenoli totali
Benzidina
Beriliu
Brom
Cadmiu
Proteine
4-Clorocatechol total
p-Clorfenol total
COHb
Clorura de metilen

Urin
Urin
Urin
Urin
Snge
Urin
Snge
Urin
Urin, pr
Urin
Urin
Urin
Urin
Snge
Urin, Snge
Urin
Urin
Urin
Snge
Snge

Tiocianati

Urin

Crom
Cobalt
DDT
Dieldrin
2,5 Diclorfenol total
N-Metil acetamida
Metil-formamida
Acid mandelic
Fenol total
Fluor

Urin
Urin, Snge
Snge
Snge
Urin
Urin
Urin
Urin
Urin
Urin

Acid trifluoro-acetic

Snge

Hexaclorbenzen
2,5 Hexadiona
Hidrazina
Gamma Hexaclor ciclohexan
Mangan
Mercur
Metiletilcetona
Tricloretanol total
Metilcloroform
Acid tricloracetic
Nichel
COHb
Nichel

Ser
Urin
Urin
Snge
Urin
Snge, Urin
Urin
Urin, Snge
Snge
Urin
Urin
Snge
Urin

14

38.

Nitrobenzen

39.

Oxid de carbon

40.

Parathion

41.
42.

Pentaclorfenol
Pesticide organofosforice

43.

Plumb

44.

Stiren

45.

Suflura de carbon

46.

Telur
Tetracloretilena
Tricloretilena

47.
48.

Tetraetil de plumb

49.

Toluen

50.
51.
52.

Uraniu
Vanadiu
Xilen

LEGENDA:
C
ALA-u
CP-u
PEL

=
=
=
=

p-Nitrofenol total
Methemoglobina
COHb
p-Nitrofenol total
Activitate colinesterazica
Pentaclorfenol
Activitate colinesterazica
Plumb
ALA-u
CP-u
PEL
Acid mandelic
Acid fenilglioxalic
Stiren
Acid 2-tio-tiazolidin 4
carboxilic
Testul iodazida
Telur
Tricloretanol +
Acid tricloracetic
Plumb dietil
Plumb total
Acid hipuric
o-Cresol
Uraniu
Vanadiu
Acid metilhipuric

Urin
Snge
Snge
Urin
Snge
Urin
Snge
Urin, snge, pr
Urin
Urin
Snge
Urin
Urin
Snge
Urin
Urin
Urin
Urin
Urin
Urin
Urin
Urin
Urin
Urin
Urin

creatinina
acid delta-amino levulinic urinar
coproporfirine urinare
protoporfirine eritrocitare

***

15

LISTA SERVICIILOR MEDICALE ACORDATE N CLINICI/SECII DE MEDICINA

MUNCII/BOLI PROFESIONALE - SPITALIZARE DE ZI

1. CONSULTURI / INVESTIGAII / SERVICII MEDICALE DE SPECIALITATE:

A. Consultaia medical de specialitate

Consultaia medical de specialitate cuprinde:

- anamneza, examenul clinic general, examenul clinic specific specialitii respective,
stabilirea protocolului de explorri i/sau interpretarea integrativ a explorrilor i a analizelor
de laborator disponibile efectuate la solicitarea medicului de familie i/sau a medicului de
specialitate, n vederea stabilirii diagnosticului;
- unele manevre specifice pe care medicul le consider necesare, altele dect cele prevzute la
lit. B;
- stabilirea conduitei terapeutice i/sau prescrierea tratamentului medical i igieno-dietetic,
precum i instruirea n legtur cu msurile terapeutice i profilactice.

B. Servicii medicale de specialitate: conform listei serviciilor medicale acordate in clinici/sectii

de medicina muncii/boli profesionale-spitalizare continua, cu execeptia:
_____________________________________________________

Nr. |
Denumire specialitate/serviciu
|crt. |
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
|
A.| Alergologie i imunologie clinic
|
|_____|_____________________________________________________________|
|
A1| Teste cutanate (prick sau IDR) cu seturi standard de
|
|
| alergeni (maximum 8 teste inclusiv materialul pozitiv i
|
| |
negativ)
|
_____________________________________________________________|
|
A2| Teste de provocare nazal, ocular, bronic
|
|_____|_____________________________________________________________|
|
A8| Spirometrie cu test farmacodinamic bronhomotor |
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
| K. | Pneumologie
|
|_____|_____________________________________________________________|
| K.3| Spirometrie cu test farmacodinamic bronhomotor |
|_____|_____________________________________________________________|
| K.7| Teste cutanate (prick sau IDR) cu seturi standard de
|
|
| alergeni (maximum 8 teste inclusiv materialul pozitiv i
|
|
| negativ)
|
|_____|_____________________________________________________________|
| K.8| Teste de provocare nazal, ocular, bronic
|
|_____|_____________________________________________________________|
|
O.| Medicin intern; geriatrie i gerontologie
|
|_____|_____________________________________________________________|
| O.11| Spirometrie cu test farmacodinamic bronhomotor
|
|_____|_____________________________________________________________|
| O.12| Teste de provocare nazal, ocular, bronic
|
|_____|_____________________________________________________________|

|_____|

16

| P. | Medicina muncii
|
|_____|_____________________________________________________________|
|P.20 | Teste cutanate (prick, patch sau IDR) cu seturi standard de alergeni inclusiv
|
|
| profesionali - (maximum 8 teste inclusiv materialul pozitiv i negativ)
|
|
| (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.21 | Teste de provocare nazal, ocular, bronic (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.23 | Spirometrie cu test farmacodinamic bronhomotor |
|_____|_____________________________________________________________|

2. ANALIZE BIOLOGICE I INVESTIGAII PARACLINICE: se va accepta lista de analize

biologice si investigatii paraclinice prevazuta la spitalizare continua, cu exceptia celor
enumerate mai jos ( reprezinta servicii medicale de specialitate ce necesita obligatoriu
monitorizarea clinica a pacientului prin spitalizare continua):
_________________________________________________________________
|Nr.
|
Cod
|
Denumirea analizei
|
|crt. |
|
|
|______|_______________________|_________________________________|
|
|
|
- Examinri radiologice
|
|________________________________________________________________|
|113
|
|
|
|
|
|
| Pielografie
|
|______|___|___|___|___|___|___|_________________________________|
|114
|
|
|
|
|
|
| Flebografia de extremiti
|
|______|___|___|___|___|___|___|_________________________________|
|116
|
|
|
|
|
|
| Angiografia carotidian
|
|
|
|
|
|
|
|
|
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
|
|
|
| Angiografia RM trunchiuri
|
|117
|
|
|
|
|
|
| supraaortice
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
|
|
|
| Angiografia RM artere renale
|
|118
|
|
|
|
|
|
| sau aorta
|
|______|___|___|___|___|___|___|_________________________________|
|119
|
|
|
|
|
|
| P.E.G.
|
|______|___|___|___|___|___|___|_________________________________|
|141
|
|
|
|
|
|
| Spirometrie cu test farmacodinamic|
|
|
|
|
|
|
|
| bronhomotor |
|______|___|___|___|___|___|___|_________________________________|

3. SERVICII MEDICALE DE SPECIALITATE: RECUPERARE REABILITARE A

SNTII : conform listei serviciilor medicale acordate in clinici/sectii de medicina
muncii/boli profesionale-spitalizare continua.

______________________________________________________________

4. ANALIZE BIOTOXICOLOGICE NECESARE SUSINERII DIAGNOSTICULUI

DE PROFESIONALITATE : conform listei serviciilor medicale acordate in clinici/sectii
de medicina muncii/boli profesionale-spitalizare continua.

***

17

LISTA SERVICIILOR MEDICALE ACORDATE N SISTEM AMBULATORIU PRIN

CABINETELE DE MEDICINA MUNCII AFLATE N STRUCTURA SPITALELOR

1. CONSULTURI / INVESTIGAII / SERVICII MEDICALE DE SPECIALITATE:

A. Consultaia medical de specialitate

Consultaia medical de specialitate cuprinde:

- anamneza, examenul clinic specific specialitii medicina muncii, stabilirea protocolului de
explorri i/sau interpretarea integrativ a explorrilor i a analizelor de laborator disponibile
efectuate n vederea stabilirii diagnosticului de profesionalitate sau reevaluarea clinico-biologica
a pacientilor declarati cu boli profesionale;
- unele manevre specifice pe care medicul le consider necesare, altele dect cele prevzute la
lit. B;
- stabilirea conduitei terapeutice i/sau prescrierea tratamentului medical i igieno-dietetic,
precum i instruirea n legtur cu msurile terapeutice i profilactice.

B. Servicii medicale de specialitate:

_____________________________________________________

Nr. |
Denumire specialitate/serviciu
|crt. |
|
|_____|_____________________________________________________________|
|_____|_____________________________________________________________|
| P. | Medicina muncii
|
|_____|_____________________________________________________________|
|
|
|
|
| Consultaia iniial de medicina muncii (anamneza, inclusiv anamneza
|
|
| profesional, examen clinic, stabilirea diagnosticului i instituirea
|
|
| tratamentului, precum i stabilirea oportunitii internrii). Recomandri
|
|
| privind reabilitarea medical, reorientarea i reinseria profesional.
|
|_____|_____________________________________________________________|
|
| Consultaia de control include efectuarea i/sau interpretarea unor investigaii
|
|
| complementare specifice, reevaluri, tratament, etc. Recomandri privind
|
|
| reabilitarea medical, reorientarea i reinsertia profesionala.
|
|_____|_____________________________________________________________|
| P.1 | Peakflow metrie (efectuare, interpretare)
|
|_____|_____________________________________________________________|
| P.2 | Spirometrie (efectuare, interpretare)
|
|_____|_____________________________________________________________|
| P.3 | Aerosoli/caz (edin)
|
|_____|_____________________________________________________________|
| P.4 | Examen electrocardiografic (efectuare, interpretare).
|
|_____|_____________________________________________________________|
| P.5 | Oscilometrie
|
|_____|_____________________________________________________________|
| P.6 | Examen electromiografic (efectuare, interpretare).
|
|_____|_____________________________________________________________|
| P.7 | Audiometrie la cti (tonal) (efectuare, interpretare).
|
|_____|_____________________________________________________________|
| P.8 | Administrare de medicamente (im, iv, sc, po)
|
|_____|_____________________________________________________________|
| P.9 | Examen ecografic general (abdomen i pelvis)
|
|
| (efectuare, interpretare).
|

18

|_____|_____________________________________________________________|
|P.10 | Evaluare psihologic.
|
|_____|_____________________________________________________________|
|P.11 | Psihoterapie.
|
|_____|_____________________________________________________________|
|P.12 | Transfer alveolo-capilar (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.13 | Gazometrie (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.14 | Pletismografie (efectuare, interpretare).
|
|_____|_____________________________________________________________|
|P.15 | Radiografie pulmonara standard (interpretare)
.
|
|_____|_____________________________________________________________|
|P.16 | Radiografii coloana cervicala, dorsala, lombara ( interpretare).
|
|_____|_____________________________________________________________|
|P.17 | Testul de provocare la rece (efectuare, interpretare).
|
|_____|_____________________________________________________________|

2. ANALIZE BIOLOGICE I INVESTIGAII PARACLINICE: se va accepta lista de analize

biologice si investigatii paraclinice prevazuta la spitalizare continua, cu exceptia celor
enumerate mai jos ( reprezinta servicii medicale de specialitate ce necesita obligatoriu
monitorizarea clinica a pacientului prin spitalizare continua):
_________________________________________________________________
|Nr.
|
Cod
|
Denumirea analizei
|
|crt. |
|
|
|______|_______________________|_________________________________|
|
|
|
- Examinri radiologice
|
|________________________________________________________________|
|113
|
|
|
|
|
|
| Pielografie
|
|______|___|___|___|___|___|___|_________________________________|
|114
|
|
|
|
|
|
| Flebografia de extremiti
|
|______|___|___|___|___|___|___|_________________________________|
|116
|
|
|
|
|
|
| Angiografia carotidian
|
|
|
|
|
|
|
|
|
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
|
|
|
| Angiografia RM trunchiuri
|
|117
|
|
|
|
|
|
| supraaortice
|
|______|___|___|___|___|___|___|_________________________________|
|
|
|
|
|
|
| Angiografia RM artere renale
|
|118
|
|
|
|
|
|
| sau aorta
|
|______|___|___|___|___|___|___|_________________________________|
|119
|
|
|
|
|
|
| P.E.G.
|
|______|___|___|___|___|___|___|_________________________________|
|141
|
|
|
|
|
|
| Spirometrie cu test farmacodinamic|
|
|
|
|
|
|
|
| bronhomotor |
|______|___|___|___|___|___|___|_________________________________|

3. ANALIZE BIOTOXICOLOGICE NECESARE SUSINERII DIAGNOSTICULUI

DE PROFESIONALITATE : conform listei serviciilor medicale acordate in clinici/sectii
de medicina muncii/boli profesionale-spitalizare continua.

NOT:
Serviciile medicale preventive (examenul medical la angajare, controlul medical de
adaptare, examenul medical periodic, examenul medical la reluarea activitii,
consultaii spontane) nu fac obiectul prezentului contract. Costul acestor servicii
medicale preventive este suportat direct de ctre angajator.

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