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NGHlBlNHQuy djnh v~ ho~t o{>ngtiem chu~~ :---~.:"~~~4~.-~~~~~.

Can cu Ludt T6 chirc Chinh phu ngay 19 thong 6 ndm 2015;

Can cuLudt Phong, chong benh truyen nhiim ngay 21 thong 11 ndm 2007;

Can cu Ludt D6u tu ngay 26 thang 11 ndm 2014;

Thea a~nghi cua B9 truong B9 Y ti;Chinh phu ban hanh Nghi dinh quy dinh v~ hoat dong tiem chung.

Churmg IQUY BINH CHUNG

Bi~u 1.Ph~m vi oi~u chinh

Nghi dinh nay quy dinh vS an toan tiern chung va b6i thirong khi sir dungr

vac xin.

Bi~u 2. Pham vi ap dung

1. Nghi dinh nay ap dung d6i voi cac ca sa y t€ thuc hien tiem chung v~cxin trong Chuang trinh tiem chung rna r9ng va tiern chung ch6ng dich.

2. T6 chuc, ca nhan kinh doanh dich vv tiern chung phai dap Ung cae yeuc~u: An toan tiern chung thea quy dinh t?i Nghi dinh nay, thvc hi~n ch€ d9 baocao thea quy dinh, co k€ ho?ch bao dam cung ung du v~c xin cho ho?t d9ngtiern chung t?i ca sa.

Bi~u 3. Ghii thich tir ngii'

1. Tiern chung Ia vi~c dua v~c xin vao ca th~ con nguai v6i rn\lc dich t?Ocho ca th~ kha nang dap Ung rniSn dich d~ dVphong b~nh t~t.

2. Tiem chung ch6ng dich Ia bo?t d911gtiern chung rni€n phi do Nha llu6ct6 chtl'c cho nhfing nguai co nguy co m~c b~nh truySn nhiSrn t?i vung co dich,nguo'i dUQ'cca quan nha nu6c co th§.rnquy~n cli' d€n vung co dich.

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3. ThiSt bi day chuyen 1~ la h~ th6ng thiSt bi bao quan, thea doi nhiet dQva van chuyen v~c xin til nha san xu~t dSn cac diem tiern chung.

4. Su c6 b~t loi sau tiem chung la hien nrong b~t thuong vS sire khoe baogom cac bieu hien tai ch6 tiem hoac toan than xay ra sau tiem chung, khong nh~tthiet do viec sir dung v~c xin, bao g6m phan img thong thuong sau tiem chungva tai biSn nang sau tiem chung.

5. Tai biSn nang sau tiem chung la sir c6 b~t loi sau tiem chung co thS dedoa dSn tinh mang nguoi duoc tiem chung hoac dS lai di chirng hoac lam nguoiduoc tiem chung nr vong.

6. Co sa tiem chung la co sa y tS du diSu ki~n va dff thl,l'chi~n vi~c congb6 du diSu ki~n tiem chung theo quy dinh t~i Nghi dinh nay.

ChU'O'ng II

AN ToAN TIEM CHUNG

M\lC 1QUY TRINH TIEM CHUNG

:Di~u 4. Quan Iy d&i tU'Q'ng tiem chung

1. NQi dung quim 1;' d6i tuqng tiem chung bao g6m:

a) HQ, ten, ngay, thang, nam sinh va dia chi thuemg tru cua d6i tuqngtiem chung;

b) Ten cha ho~c m~ ho~c nguai giam hQ d6i v6i truemg hqp nguai duqctiem chung la tre em;

c) TiSn su tiem chung, tiSn su b~nh t~t lien quan dSn chi dinh tiem chung.

2. Uy bart rthan dan xiI, phuOng, thi trfrn chiu trach nhi~m chi d~o Tr~m YtS diSu tra, l~p danh sach cac d6i tuqng thuQc di~n tiem chung b~t bUQctheo quydinh cua Lu~t phong, ch6ng b~nh truySn nhiSm va thong bao cho d6i tUQng dStham gia tiem chung dung lich, du liSu.

3. Co sa tiem chung chiu trach nhi~m:

a) C~p va ghi s6 thea d6i tiem chung ca nhan ho~c s6 tiem chung di~n tu;

b) Th6ng ke danh sach cac d6i tUQngduQ'ctiem chung t~i co sa.4. Ttuang hqp nguo'i duQ'cticm chung dff co ma s6 dinh danh cong dan thi

khong c~n thu th~p cac thong tin quy dinh t~i diSm a va diSm b khoan 1DiSu nay.

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Di~u 5. Quy trinh tiem chiing

1. Viec tiem chung phai thuc hien d~y du cac bUGCsau:

a) Tnroc khi tiem chung: Kham sang 19C,tu v~n cho d6i tuong tiernchung, Truong hop d6i nrong tiem chung la tre em thi viec tu v~n ducc thirchien voi cha, my hoac nguoi giam hQ cua tre;

b) Trong khi tiem chung: Thirc hien tiem chung thea dung chi dinh, baodam an toan;

c) Sau khi tiem chung: Theo ddi nguoi dircc tiem chung it nhat 30 phutsau tiem chung va huang d~n gia dinh hoac d6i nrong tiem chung dS tiep tucthea doi it nh~t 24 gio sau tiem chung,

2. Khi dang trien khai tiem chung rna xay ra tai biSn nang sau tiem cluing,nguoi dirng dftu ca sa tiem chung co trach nhiem:

a) Dung ngay bu6i tiem chung;

b) Xu tri c~p Clm, ch§.n doan nguyen nhan tai biSn n~ng sau tiem chung;truang hqp vuqt qua kha nang thi phai chuySn nguai bi tai bi€n nmg sau tiemchung dSn ca sa kham b~nh, chua b~nh g~n nh~t;

c) Th6ng ke d~y du thong tin lien quan dSn truang hqp tai biSn n~ng theaquy dinh cua BQ truang B9 Y tS va bao cao cho Sa Y tS trong thai h?n 24 gia kStu tho'i diSm xay ra tai biSn.

3. Ca sa kham b~nh, chua b~nh tiSp nh~n truOng hgp tai biSn n~ng sautiem chung phai tiSn hanh c~p Clm, diSu tri va bao cao Sa Y tS trong thai h?n 24gia kS tu thai diSm tiSp nh~n nguo'i bi tai biSn.

4. TruOng hqp xay ra tai biSn n~ng sau tiem chung v~c xin ngoai Chuangtrinh tiem chung rna r9ng va tiem chung ch6ng dich, ca sa nai xay ra tai biSnn~ng sau tiem chung co trach nhi~m bao cao Sa Y tS nai ca sa d~t tr\l sa theaquy dinh t?i khoan 2 DiSu nay va thvc hi~n b6i thuOng thea quy dinh cua phaplu~t vS dan sv nSu co 16igay ra tai biSn n~ng sau tiem chung.

Di~u 6. Di~u tra, bao cao va thong bao k~t qua di~u tra, xii' tri trU'Crnghgp tai bi~n n~ng sau tiem chung

1. Trong tho'i h?n 24 gia, kS tu khi xay ra truOng h9P tai biSn n~ng sautiem chung, Sa Y tS co trach nhi~m t6 chilc vi~c diSu tra va trong thai h?n 05ngay lam vi~c kS tu khi nh~n bao cao diSu tra truang hgp tai biSn n~ng sau tiemchung, Sa Y tS phai t6 chilc hQPHQi d6ng tu v~n chuyen mon danh gia nguyennhan tai biSn sau tiem chung tren dia ban (sau day gQi chung la HQi d6ng tu v~nchuyen mon tinh) dS:

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a) Danh gia, kSt luan nguyen nhan gay tai bien nang sau tiem chung;

b) Xac dinh tnrong h9P duoc b6i thirong theo quy dinh tai khoan 6 DiSu 30cua Luat phong, chong benh truyen nhi€m va khoan 2 Dic3u15 Nghi dinh nay;

c) Xac dinh trach nhiem cua t6 chirc, ca nhan trong viec san xuat, kinhdoanh, bao quan, sir dung v~c xin, sinh phdm y tS co lien quan dSn tai biSn nangsau tiem chung,

2. Trong thai han 24 gio, kS ur thai diem co bien ban hop HQi d6ng nr vanchuyen mon tinh, Giam d6c Sa Y ts co trach nhiem:

a) Thong bao cong khai va bao cao BQ Y tS vS nguyen nhan gay tai biennang sau tiem chung;

b) Thong bao cho gia dinh cua ngiroi bi tai bien nang sau tiem chung vSnguyen nhan gay tai biSn.

3. Truong hQ'P nghi ngo nguyen nhan dftn d@ntai bien n~ng sau tiemchung do ch~t luqng v~c xin, Giam d6c Sa Y tS phai co van b~mquYSt dinh t~mdung su d\lng 10v~c xin lien quan tren dia ban quan ly sau khi co y kiSn d6ng yb~ng van ba~ cua BQ Y tS. Khi HQi d6ng tu v~n chuyen mon tinh c6 k~t lu~nnguyen nhan tai biSn n~g khong lien quan dSn ch~t luqng v~c xin, Giam d6c SaY tS quySt dinh cho phep su d\lng l~i 10v~c xin do va bao cao BQY tS.

4. Trong truOng h9P c~n thiSt, BQ Y tS t6 chuc hQp HQi d6ng tu v~nchuyen mon cua BQ Y tS dS danh gia l~i kSt lu~n cua HQi d6ng tu v~n chuyenmon tinh.

5. BQ truang BQY tS co trach nhi~m quy dinh C\lthS BiSu nay.

M\lC 2QUAN LyvAC XIN

f)i~u 7. Cung u'ng v~c xin cho ho~t dqng tiem chung

1. vic xin su d\lng cho ho~t dQng tiem chung trong Chuang trinh tiemchung rna rQng, tiem chung ch6ng dich do Nha nuac bao dam vS s6 lUQl1g,chung lo~i phil h9P vai nhu c~u h~ng nam va dUQ'Cd1Jtrfr trong 6 thang,

2. Can cu s6 lUQngd6i tuqng tiem chung, thai gian va dinh muc su d\mgcua tUng lo~i vic xin, co sa tiem chung co trach nhi~m l~p d1JkiSn nhu c~u v~cxin quy dinh t~i khoan 1 BiSu nay cua ca nam gui co quan dUQ'cgiao quan ly vStiem chung tuySn huy~n, tuy@ntinh t6ng hqp gui Sa Y tS truac ngay 30 thang 11h~ng nam dS chi d?o c~p vic xin theo kS ho~ch,

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3. Can cir du kiSn nhu c~u v~c xin cua cac co sa tiern chung, Sa Y tS cotrach nhiem tbng hop, giri kS hoach v~ BQ Y tS truce ngay 15 thang 12 hangnam dS phe duyet kS hoach cung irng v~c xin va phan phoi tren co sa kS hoachdil diroc phe duyet,

4. Khi xay ra tinh trang thira, thiSu v~c xin C\lCbQtai cac co sa tiem chung,Sa Y tS giup Uy ban nhan dan tinh chi dao viec dieu phoi v~c xin giira cac co satiem chung tren dia ban dS bao dam cung irng v~c xin d~y du, kip thoi, lien tuc vabao cao BQY tS v~ tinh hinh sir dung v~c xin thea dinh kY hang thang.

5. Khi xay ra tinh trang thira, thiSu v~c xin C\lCbQ tai mot s6 tinh, BQtnrong B9 Y tS co trach nhi~m chi d:;1ocac dan vi lien quan di~u ph6i v~c xingifra cac tinh.

Di~u 8. Ti~p nh~n, v~n chuy~n, bao quan v~c xin

1. V~c xin phai duQ'cbao quan trong day chuySn l:;1nhtil' khi san xu§.t taikhi su d\lng va a nhi~t dQ phil hqp d6i vai tUng lO:;1iv~c xin thea yeu c~u cuanha san xu§.ttrong h6 so dang Icy luu hanh vai BQY tS, C\lthS nhu sau:

a) Kho bao quan v~c xin phai tuan thu quy dinh v~ th"I,fChanh t6t baoquan thu6c;

b) Vi~c v~n chuySn v~c xin til' kho bao quan dSn diSm tiem chung phaiduQ'cthlJc hi~n b~ng xe l:;1nh,hom l:;1nh,phich v~c xin;

c) Bao quan v~c xin t:;1icac diSm tiem chung b~ng tu l:;1nh,phich v~c xinho~c hom l:;1nhtil' khi b~t d~u tiem chung dSn luc kSt thuc bubi tiem chung,truang hqp phai luu trfr v~c xin thi phai kiSm tra nhi~t dQbao quan va ghi chept6i thiSu 02 l~nJngay;

d) Co thiSt bi theo doi nhi~t dQ cua v~c xin trong qua trinh v~n chuySn,bao quan, sir d\lng va ghi chep d~y du khi v~n chuySn, giao hang;

d) BQ truang BQ Y tS huang dfrn vi~c ti€p nh~n, v~n chuySn, bao quan,vac xin.

2. Khi tiSp nh~n v~c xin, ngmJi ti~p nh~n v~c xin co trach nhi~m kiSm tratinh tr:;1ngbao quan va cac thong tin khac thea quy dinh cua BQ truang BQY tS.

M1}c3

DIEU KI~N CO Sa TIEM CHUNG

Di~u 9. Di~u ki~n d8i voi CO' sO'tiem chung c6 dinh

1. Co sa v~t ch§.t:

a) Khu V\IC ch6 truac khi tiem chung phai b6 tri GUch6 ng6i trong 111Qtbubi tiem chung, bao Gam che Gugc mua, n~ng, kin gio va thong thoang;

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b) Khu VI,l'C thirc hien nr van, kham sang loc co dien tich t6i thieu la 8 m2;

c) Khu vue thirc hien tiem chung co dien tich t6i thieu la 8 m2;

d) Khu vue thea doi va xu tri phan irng sau tiem chung co dien tich t6ithieu la 15 m2;

d) Rieng d6i voi diSm tiem v~c xin viem gan B liSu sa sinh tai cac co sakham benh, chua benh co phong sinh thi khong thuc hien thea cac diSm a, diSmb, diSm c va diem d Khoan nay rna thuc hien thea quy dinh sau day: B6 triphong tiem hoac ban tiem v~c xin rieng, noi tiem chung bao dam du ~m cho tre,co nai kham sang loc cho tre, nr v~n cho cac ba me hoac nguoi giam hQ cua tre;

e) Bao dam cac diSu kien vS v~ sinh, du anh sang va b6 tri thea nguyent~c mQt chiSu t~i cac khu vvc quy dinh t~i cac diSm a, diSm b, diSm c va diSm dKhoan nay.

2. Trang thiSt bi:a) Co tu l~nh, phich v~c xin ho?c hom l~nh, cac thiSt bi thea d5i nhi~t dQ

t~i nai bao quan va trong qua trinh v~n chuySn v~c xin;

b) Co du thi~t bi tiero, d.c d\lng ct,l, hoa chftt dS sat khuAn va cae v~t tuc~n thiSt khac;

c) Co hQp ch6ng s6c, phac dd ch6ng s6c treo t~i nai thea d5i, xu tri phantmg sau tiem chung thea quy dinh eua BQtruang BQY tS;

d) Co dt,lngct,lchua ch~t thai y tS thea quy dinh cua BQtwang BQY tS.

3. Nhan sv:

a) S6 luqng: Co t6i thiSu 03 nhan vien chuyen nganh y, trong do co it nh~t01 nhan vien co trinh dQ chuyen mon til y sy tra len; d6i v6i ca sa tiem chungt~i cac vung sau, vung xa, vung d?c bi~t kho khan phai co t6i thiSu 02 nhan vienco trinh dQtil trung c~p chuyen nganh y tra len, trong do co it nh~t 01 nhan vienco trinh dQchuyen mon til y sy tra len;

b) }"Thanvien y tS tham gia ho~t dQng tiem chung phai dUQ'ct~p hu~nchuyen mon vS tiem chung. Nhan vien trvc tiSp th\}'chi~n kham sang lQc, tu v~n,thea d5i, xu tri phan ung sau tiem chung phai co trinh dQchuyen mon til y s9 tralen; nhan vien thvc hanh tiem chung co trinh dQtil diSu dUOngtrung h9C tra len.

Di~u 10. Di~u ki~n d&i v6'i di~m tiem chung Iwu dQng

1. Vi~c tiem chung t~i nha chi duQ'c thvc hi~n t~i cac xa thuQc vung sau,vung xa, xa co diSu ki~n kinh tS - xa h9i d~c bi~l kh6 khan khi dap ling cac diSuki~n sau:

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a) Chi ap dung d6i voi hoat d<)ng tiem chung thuoc Chuang trinh tiemchung rna rong, tiem chung chong dich;

b) Phai do co sa tiem chung da:cong b6 du diSu kien tiem chung quy dinhtai DiSu 11 Nghi dinh nay thuc hien;

c) Co phich v~c xin, co du dung cu tiem chung va dap irng diSu kien quydinh tai cac diSm b, diSm c va diSm d khoan 2 DiSu 9 Nghi dinh nay;

d) Nhan sir bao dam diSu kien thea quy dinh tai diSm d khoan 2 DiSu nay.

2. DiSu kien d6i voi diSm tiem chung hru dong khac:

a) Phai do co sa tiem chung da:cong b6 du diSu kien tiem chung quy dinhtai DiSu 11 Nghi dinh nay thuc hien;

b) Co sa V?t ch§.t:Co ban tir v§.n,kham sang lQc, ban tiem chung, noi thead5i, xu tri phan ilng sau tiem chung va phai b6 tri thea nguyen t~c m9t chiSu.DiSm tiem chung phai bao dam du diSu ki~n vS v~ sinh, che dUQ'cmua, n~ng,kin gio, thong thoang, du anh sang;

c) Trang thi~t bi: Co phich v~c xin ho?c hom l~nh, dap ilng diSu ki~n quydinh t~i cac diSm b, diSm c va diSm d khoal1 2 DiSu 9 Nghi dinh nay;

d) Nhan sv: Co t6i thiSu 02 nhan vien chuyen nganh y, trong do nhan vientfl,l'Cti~p thvc hi~n khcim sang lQc, tu v§.n, thea d5i, xu tri phan Ung sau tiemchung phai dap Ung diSu ki~n quy dinh t~i diSm b khoan 3 DiSu 9 Nghi dinh nay.

Di~u 11. Cong bB CO' sO' du di~u ki~n tiem chung

1. Truac khi thvc hi~n ho~t d9ng tiem chung, co sa tiem chung phai guivan ban thong baa du diSu ki~n tiem chung thea mfiu quy dinh t~i Phl,l h,lc banhanh kern thea Nghi dinh nay cha Sa Y t~ noi co sa tiem chung d?t tfl,lsa.

2. Trang thai h~n 10 ngay, kS til ngay nh?n duQ'c thong baa du diSu ki~ntiem chung, Sa Y t~ phai dang tai thong tin vS ten, dia chi, nguai dung d§.uco sada: cong b6 du diSu ki~n tiem chung tren Trang thong tin di~n tu cua Sa Y t~(thai diSm tinh ngay phai cong b6 thong tin duQ'cxac dinh thea d§.ucong van d~ncua Sa Y t~).

3. Co sa chi dUQ'Cthvc hi~n ho~t d9ng tiem chung sau khi da:thvc hi~nvi~c cong b6 du diSu ki~n tiem chung, nguai dUng d§.u co sa thvc hi~n tiemchung tv cong b6 du diSu ki~n tiem chung chiu trach nhi~m truac phap lu?t vSvi~c tl,l'cong b6 cua minh.

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4. Trong qua trinh thanh tra, kiem tra diSu kien tiern chung tai cac co satiem chung, neu phat hien co sa tiem chung khong tuan thu cac diSu kien quydinh tai DiSu 9 hoac DiSu 10 Nghi dinh nay thi doan thanh tra, kiern tra phai l~pbien ban tam dinh chi hoat d9ng va kien nghi c~p co tham quyen quyet dinh viecxu ly thea quy dinh cua phap luat d6ng thoi giri 01 ban bien ban vS Sa Y t~ noi cosa tiem chung d~t tru sa.

5. Trong thai han 05 ngay lam viec, kS tir ngay nhan duoc bien ban tarndinh chi hoat d9ng quy dinh tai khoan 3 DiSu nay (thai diSm nhan bien ban duocxac dinh thea d~u cong van dSn cua Sa Y tS), Sa Y tS rut ten co sa khoi danh sachco sa nr cong b6 da dang tai tren Trang thong tin di~n nr cua Sa Y tS.

Ml}c 4

DIED KItN BAo DAM CONG TA.C TIEM CHUNG

Di~u 12. H~ th&ng cung u'ng dich vl} tiem chung

1. Cac co sa y tS nha nuac thea chuc nang, nhi~m V\l dugc giao phai th\1chi~n tiem chung v~c xin trong Chuang trinh tiem chimg ma r9ng, tiem chungch6ng dich va phai bao dam cac diSu ki~n tiem chung thea quy dinh t~i Nghidinh nay.

2. Co sa kham b~nh, chua b~nh cua nha nuac ngoai quy dinh t~i khoan 1DiSu nay; cac co sa kham b~nh, chua b~nh tu nhan nSu da cong b6 du diSu ki~ntiem chung thea quy dinh t~i Nghi dinh nay dugc phep dang ky vai Sa Y tS sat~i dS th\1c hi~n tiem chung v~c xin trong Chuang trinh tiem chung rna r9ng vaphai t6 chuc triSn khai tiem chung ch6ng dich khi co quan quan ly nha nuac coth~m quySn yeu c~u.

Di~u 13. Ghi dich vl} tiem chung

1. Gia dich V\l tiem chung dugc tinh dVa tren ca.cy~u t8 sau day:

a) Gia mua v~c xin;

b) Chi phi v~n chuySn, bao quan v~c xin;

c) Chi phi dich V\l tiem chung.

2. Chi phi dich V\l tiem chung dugc tinh thea tung lOq_iv~c xin, s6 l~ntiem ho~c u6ng va dugc tinh dung, tinh du cac ySu t6 chi phi tr\1c tiSp, gian tiSpsau day:

a) TiSn cong kham sang lQc, tu v~n, cong tiem, theo d5i sau tiem chung;

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b) Ti~n v~t tu tieu hao;

c) Ti~n dien, mroc, nhien lieu, xu ly chat thai y tS va v~ sinh moi tnrongtnrc tiSp cho viec thuc hien dich vu tiem chung;

d) Kh§.u hao tai san c6 dinh; chi phi chi tra la:i ti~n yay thea cac hQP d6ngyay von, huy dong d~ d~u tu, mua sam trang thiSt bi thuc hien dich vu tiem chung(neu co) diroc tinh va phan b6 vao chi phi cua dich vu su dung nguon v6n nay;

d) Chi phi cua bQ phan gian tiep, cac chi phi hQP phap khac dS bao damcho heat dQng cua co sa tiem chung.

3. Khong tinh vao gia dich vu tiem chung v~c xin trong Chuong trinh tiemchung rna rong, tiem chung chong dich d6i voi cac khoan chi phi da:duoc ngansach nha nuac bao dam.

4. BQ truang BQ Y tS quy dinh C\l thS gia dich V\l tiem chung v~c xintrong Chuang trinh tiem chung rna rQng, tiem chung ch6ng dich.

Di~u 14. Ngu8n kinh phi cho ho~t d(>ng tiem chung

1. Ngu6n kinh phi hinh thanh cho ho~t dQng tiem chung:

a) Ngan sach nha nuac;

b) Tai trQ'cua cac t6 chuc va ca nhan trong, ngoai nuac;

c) Ngu6n Quy bao hiSm y tS;

d) Cac ngu6n thu hQPphap khac thea quy dinh cua phap lu~t.

2. Ngan sach nha nuac bao dam kinh phi cho:

a) SU d\lng v~c xin, sinh ph~m y tS cho cac d6i tuqng quy dinh t~i khoan 3f)i~u 28 va khoan 4 f)i~u 29 cua Lu~t phong, ch6ng b~nh truySn nhiSm;

b) f)~u tu h~ th6ng day chuySn l~nh cho Chuang trinh tiem chung rnar9ng va tiem chung ch6ng dich;

c) Cong tac thong tin, giao d\lc, truYSn thong, kiSm tra, thanh tra ho~td9ng tiem chung, chi phi d~lOt~o, nghien CUukhoa h9C dS ung d\lng ky thu~tmai, phuang phap mai trong tiem chung;

d) B6i thucmg khi su d\lng v~c xin trong Chuang trinh tiem chung mar(mg va tiem chung ch6ng dich bi tai biSn anh huang nghiem tr9ng dSn suc khoeho~c gay thi~t h~i dSn tinh m~ng cua nguai duQ'ctiem chung.

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ChU'O'ngIII

BOI THUONG KHI sir Dl)NG v Ac XIN TRONG CHUONG TRiNHTIEM CHUNG MO RQNG, TIEM CHUNG CHONG DICH GAY ANHHUaNG NGHIEM TRQNG DEN SUC KHOE, TINH M~NG CVA

NGUOI DUQC TIEM CHUNG .

f)i~u 15. Cac truimg hop dU'Q'c bBi thuirng

1. Khi ·sir dung v~c xin trong Chuong trinh tiem chung rna rong va tiemchung chong dich neu xay ra tai biSn nang anh huang nghiem trong dSn sirekhoe hoac gay thiet hai dSn tinh mang cua nguoi duoc tiem chung, Nha mroc cotrach nhiem b6i thuong cho nguoi bi thiet hai.

2. Truong hQ'Pdiroc Nha mnrc b6i thuong bao gorn:

a) Nguoi duoc tiem chung bi tai bien nang dS lai di chirng d~n dSn bikhuyet t~t;

b) Nguoi duoc tiem chung bi tir vong.

f)i~u 16. Cac thi~t hai, pham vi va mire bBi thuong

1. Thiet hai do dS lai di chimg d~n dSn bi khuyet t~t diroc b6i thuang 30thang luong co sa va cac chi phi quy dinh t?i khoan 3, khoan 4 £)i€u nay.

2. Thi~t h?i dSn tinh m?ng dm,Jch6 trQ'nhu sau:

a) Cac chi phi quy dinh t?i khoan 3 £)i€u nay truac khi tir vong;

b) Chi phi mai tang phi b~ng 10 thang luong co sa do Nha nuac quy dinh;

c) Chi bu d~p tfm th~t v€ tinh thftn la 100.000.000 d6ng cho than nhan cuanguai bi thi~t h?i;

d) Cac chi phi do thu nh~p bi m~t ho~c giam sut thea quy dinh t?i khoan 4£)i~u nay.

3. Chi phi do phai kham b~nh, chua b~nh t?i cac co sa y tS:

a) Truang hQ'PngmJi duqc tiem chung duQ'cNha nuac b6i thuemg co thebao hiSm y tS dSn kham b~nh, chua b~nh t?i cac co sa y tS thi vi~c thanh toan chiphi kham b~nh, chua b~nh, ph\lc h6i chuc nang duqc thvc hi~n thea quy dinhcua phap lu~t v€ bao hiSm y tS. Phftn chi phi rna d6i tuqng co the bao hiSm y tSphai d6ng chi tra va cac dich V\l kham b~nh, chua b~nh co chi phi vuqt mucthanh toan cua bao hiSm y tS ho~c ngoai ph?m vi thanh toan cua bao hiSm y tSthi duQ'cthanh toan thea hoa don (muc t6i da khong qua khung gia dich V\l dangky v6i B9 Y tS);

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b) Truong hop ngiroi diroc tiem chung diroc Nha mroc b6i thucng khongco the bao hiem y tS dSn kham benh, chua benh tai cac co so y tS thi viec thanhtoan chi phi kham benh, chua benh, phuc h6i clnrc nang, van chuyen benh nhandiroc thirc hien thea nhir quy dinh hien hanh vS gia dich vu kham benh, chuabenh d6i voi co so y tS cong l~p va co hoa dan kern thea;

c) Truong hop nguoi diroc tiem chung duoc Nha mroc b6i thuong phainhap vien diSu tri, trong qua trinh diSu tri neu phat hien cac benh khac kern theakhong lien quan dSn tiem chung thi ca nhan phai thanh toan chi phi kham benh,diSu tri benh do thea quy dinh cua phap luat vS gia dich Vl.l kham b~nh, chuab~nh. NSu nguai nay co the bao hiSm y tS thi vi~c thanh toan chi phi kham b~nh,chua b~nh cua b~nh do duqc thlJc hi~n thea quy dinh cua phap lu~t vS bao hiSmy tS.

4. Thi~t h~i do thu nh?P bi m~t ho?c bi giam sut:

a) H6 tr<),thi~t h~i v~t ch~t cho 01 nguai phai nghi vi~c kh6ng huangluang dS cham soc cho truang hqp duqc Nha nuac b6i thuOng thi du<),ch6 tr<),theo thu nh~p thlJc tS b~ng muc dong bao hiSm xii hQi cua thang truac liSn kS,C\l th~:

Muc h6 trq =

Muc luang dong bao hiSm xii hQi cua nguaicham soc phai nghi vi~c khong huong luang

22 ngay

S6 ngaycham socthlJc tS

x

b) NSu ngum cham soc cho wOng hqp du<)'cNha nuac b6i thuOngma kh6ngxac dinh du<),cthu nh~p thlJCtS cua nguai do thi xac dinh muc h6 tr<)'nhu sau:

Muc h6 trq

Muc luang t6i thiSu vung nai nguo'i cham socthuOng tru t~i tho'i diSm giai quySt b6i thuOng

22 ngay

S6 ngaycham socthlJc tS

x

c) TruOng hqp nguai duqc tiem chung duqc Nha nuo'c b6i thuOng languai lao dQng theo quy dinh cua phap lu~t vS lao dQng thi duqc h6 trq thu nh~pthlJc tS bi m~t ho~c giam sut trong thai gian CUu chu·a. Muc h6 trq tuang tlJ nhumuc h6 trq cho nguai cham soc duqc quy dinh t~i diSm a, diSm b Khoan nay.

Di~u 17. HB sO', thii tl}c X3C dinh trU'{rng hgp drrgc bBi thU'(rng

1. Ca so y tS nai xay ra tai biSn n~ng anh huo'ng nghiem tn;mg dSn suckhoe ho~c gay thi~t h~i dSn tinh m~ng cua nguai duqc tiem chung phai chu~n bid~y du h6 sa, tai li~u co lien quan nham plwc V\l cho HQi d6ng tu v~n chuyenmon tinh xac dinh cac truong h9P duQ'cb6i thucmg.

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2. Truong hop nguoi duoc tiem chung hoac than nhan cua nguoi duoctiem chung cho dng minh hoac than nhan cua minh thuoc tnrong hop quy dinhtai khoan 2 Di~u 15 Nghi dinh nay thi phai chuan bi va giri cho Sa Y tS h6 sabao g6m cac tai lieu, gi~y tc sau:

a) Dan yeu c~u xac dinh nguyen nhan gay tai bien va rmrc dQtbn thuang;

b) PhiSu, sb xac nhan tiern chung loai v~c xin co lien quan;

c) Giay ra vien, hoa dan thanh toan chi -phi kham benh, chua benh, phuch6i chirc nang, v~ chuyen benh nhan (ban chinh hoac ban sao co chimg thuc);

d) Gi~y chirng nr (trong tnrong hop bi nr vong);

d) Cac gi~y to khac co lien quan chirng minh tai bien hoac thiet hai khac(neu co).

3. Trong thai han 05 ngay lam viec, kS nr ngay nh~n dUQ'cdan va cac gi~yta hqp l~, nSu xac dinh yeu d.u thuQc trach nhi~m giai quySt cua minh thi Sa YtS phai thl,l 1;' va thong bao bing van ban vS vi~c thl,l 1;' dan cho nguai bi thi~th~i ho~c than nhan cua nguai bi thi~t h~i (sau day g<;>it~t la nguai bi thi~t h~i).Truang hqp h6 sa khong d~y du thi Sa Y tS co van ban huang d~n nguai bi thi~th~i bb sung.

4. Trong thai h~ 15 ngay, kS tu ngay nh~n dUQ'cdan yeu c~u cua nguaibi thi~t h?i, Sa Y tS phai hoan thanh vi~c xac dinh nguyen nhan gay tai bi@n,muc dQtbn thuang va thong bao bing van ban cho nguai yeu c~u d6ng thai baocao BQY t@.

I>i~u 18. Tho t\lc b6i thu'crng

1. Trong tho"ih?n 05 ngay lam vi~c, kS tu ngay nh~n dUQ'ckSt lu~n cuaH9i d6ng tu v§n chuyen mon tinh (thai di€m tiSp nh~n dUQ'ctinh thea d~u tiSpnh~n cong van d@ncua Sa Y tS), Sa Y tS ra quySt dinh giai quySt b6i thuOng d6ivai d.c truang hqp dUQ'cNha nuac b6i thuang theo quy dinh t?i Nghi dinh nay.

2. QuySt dinh giai quySt b6i thuang phai co cac nQi dung chinh sau:

a) Ten, dia chi cua nguai duQ'cb6i thuang;

b) Tom tAt1;' do b6i thuang;

c) Muc b6i thuong;

d) Hi~u ll,l'ccua quySt dinh giai quy@tb6i thuo·ng.

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3. Quyet dinh giai quyet b6i thirong phai duoc giri cho nguoi bi thi~t hai,nguoi co I6i hoac co quan t6 clnrc co I6i gay thiet hai (neu co).

4. Quyet dinh giai quyet b6i thuong co hieu lire sau 15 ngay, k~ tir ngaynguoi bi thiet hai nhan duoc quyet dinh, trir tnrong hop nguoi bi thiet hai khongd6ng y va khoi kien ra toa an.

Di~u 19. Trinh tl}', thii tuc cfip va chi tra ti~n b6i thirong

1. Trong thai han 05 ngay lam viec, kS tir ngay quyet dinh giai quyet b6ithuong co hieu lire phap luat, Sa Y tS phai co van ban giri Chuang trinh tiemchung rna rong quoc gia dS nghi c~p kinh phi dS thuc hien b6i thuong kern theaquyet dinh giai quyet b6i thuemg co hi~u h,rcphap lu?t.

2. Trong thai h~ 10 ngay, kS tir ngay nh?n duQ'c van ban dS nghi c~pkinh phi d~ thvc hi~n b6i thuemg, Chuang trinh tiern chung rna rQng qu&c giaphai c~p kinh phi cho Sa Y tS dS chi tra cho nguai bi thi~t h~i.

3. Trong thai h~n 05 ngay lam vi~c, kS tir ngay nh?n dUQ·ckinh phi doChuang trinh tiern chung rna rQng qu&c gia c~p, Sa Y tS phai thvc hi~n vi~c chitra b6i thuemg cho nguai bi thi~t h~i.

Vi~c chi tra phai thvc hi~n 01 IAnb~ng tiSn rn~t cho nguai bi thi~t h~i ho~cchuySn khoan thea yeu cAucua nguai bi thi~t h~i. Truang hgp nguo·i bi thi~t h~ico yeu cAu tra b~ng chuySn khoan thi thvc hi~n thea yeu cAuva thong bao b~ngvan ban cho nguai bi thi~t h~i. NSu chi tra b6i thuang b~ng tiSn rn~t thi phaithong bao truac it nh~t 02 ngay cho nguai bi thi~t h~i, vi~c nh?il tiSn b6i thuangdUQ'cl?p thanh 02 ban, rn6i ben tham gia giao nh?il gill' 01 ban.

Di~u 20. Thii t1}c,trach nhi~m b6i hoan

1. Trong thai h~n 05 ngay lam vi~c, kS tir ngay co kSt lu?n cua HQi d6ngtu v~n chuyen mon tinh thea quy dinh t~i diSm c khoan 1 Di~u 6 Nghi dinh nay,Sa Y tS ra quySt dinh yeu cAub6i hoan cho Nha nuac.

2. QuySt dinh yeu cAub6i hoan phai co cac nQi dung chinh sau:

a) Ten, dia chi cua t6 chilc, ca nhan co 16igay thi~t h~i;

b) Tom t~t 1ydo yeu c~u b6i hoan;

c) Milc b6i hoan;

d) Hi~u 1vc cua quySt dinh yeu c~u b6i hoan.

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3. Quyet dinh yeu c~u b6i hoan phai duoc giri cho t6 chirc, ca nhan co 16igay ra thiet hai,

, ,,"'I ,,1)4. Quyet djnh yeu cau boi hoan co hieu luc sau 15 ngay ke tir ngay t6

chirc, ca nhan nhan duoc quyet dinh, tnr tnrong hop t6 chirc, ca nhan khongd6ng y va khoi kien ra tea an.

5. T6 chirc, ca nhan co 16igay thiet hai thea quy dinh tai khoan 2 DiSunay co trach nhiem nQPtiSn b6i hoan cho Chuang trinh tiem chung mo rongquoc gia va nQPbien lai cho co quan ra quyet dinh yeu c~ub6i hoan.

6. Truong hop co quan tham quyen dii ra quyet dinh yeu c~ub6i hoan rnat6 chirc, ca nhan co 16ikhong ch~phanh thi bi xu Iy thea quy dinh cua phap lu~t.

ChU'O'ngIV

TRA.CHNHltM THT!C HltN

Di~u 21. Tnieh nhi~m eiia Uy ban nhan dan dnh

1. Chi d~o, t6 chuc tri~n khai thvc hi~n ho~t dQngtiem chung thea quydinh t~iNghi dinh mlY tren dia ban.

2. Bao dam ngu6n Ivc va ngan sach dia phuong cho ho~t dQngtiem chungtren dia ban.

3. Chi d~o t6 chuc thanh tra, ki~m tra va xu Iy cac vi ph~m lien quan dSnho~t dQngtiem chung tren dia ban.

Di~u 22. Tnieh nhi~m eiia BQY t~

1. Xay dvng, tri~n khai kS ho~ch su d\lng v~c xin va tiem chung h~ngnam; xay d\lng cac kS ho~ch ng~n h~, trung h~n, dai h~n trong IInh v\l'Cv~c xinva tiem chung.

2. Xay dVngcac quy dinh va cac hu6ng d~n chuyen mon vS tiem chung.

3. Chi d~o t6 chuc thanh tra, ki~m tra vi~c sir dvng v~c xin tren ph~m vica nuac.

4. Tri~n khai ling d\lng cong ngh~ thong tin trong quan Iy ho~t d9ngtiem chung.

5. Huang d~n C\lth~ cac buac t6 chuc bU6i tiem chung; giam sat, diSutra, bao cao va thong bao nguyen nhan tai biSn ni[lngsau tiem chung; quy dinhchS d9 bao cao, quan Iy d6i tugng tiem chung, cung lIng v~c xin cho ho~t d9ngtiem chung.

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Di~u 23. Trach nhiem ciia cac B<}, nganh

1. BQGiao due va Dao tao co trach nhiem:

a) Chi dao cac co sa giao due kiem tra thong tin vS tinh trang tiem chungd&i voi d&i nrong la hoc sinh mam non, tieu hoc khi nhap hoc d6ng thai tuyentruyen, van dong cha, me, nguoi giam hQ hop phap cua hQCsinh thuc hien tiemchung d&ivoi cac tnrong hop chua tiem chung d~y du va phoi hop voi co sa y tStriSn khai cong tac tiem chung;

b) KiSm tra, giam sat cac co sa giao due trong viec thirc hien cong tactiem chung.

2. BQ Quoc phong co trach nhiem phoi hop voi BQ Y tS triSn khai cachoat dQng tiem chung tai vung sau, vung xa, vung bien giai, hai dao, t~i cac casa quan y, quan dan y.

3. BQTai chinh co trach nhi~m bao dam kinh phi cho cong tac tiem chungrna rQng, tiem chung chang dich thea quy dinh cua Lu~t ngan sach nha nuac.

4. Dai Truy~n hinh Vi~t Nam, Dai Ti~ng n6i Vi~t Nam, Thong t~n xii Vi~tNam, cac ca quan thong tin d?i chung va thong tin ca sa co trach nhi~m t6 chucho?t dQng truySn thong vS lQ'iich cua tiem chung phong b~nh dS nguai dan thlJchi~n tiem chung d~y du, dung lich.

5. Cac BQ, nganh khac thea chuc nang, nhi~m Vl,l duqc giao co trachnhi~m ph6i hqp vai BQY tS thlJc hi~n Nghi dinh nay.

Di~u 24. Tnich nhi~m cua CO' s(r tiem chung

1. Cac ca sa tiem chung phai bao dam thlJc hi~n dung d.c quy dinh cuaphap lu~t, nhung quy dinh va huang dfu1 chuyen mon vS an toan tiem chung,quan ly d&itUQ"Ilgtiem chung, bao cao theo quy dinh.

2. Luu gifr, quan ly cac tai li~u, h6 sa vS tiem chung va phan Ung sau tiemchung thea quy dinh.

Di~u 25. Tnich nhi~m cua ngU'(ri th\fc hi~n tiem chung

1. Tu v~n d~y du cho nguai duQ'c tiem chung ho~c gia dinh tre duQ'c tiemchung vS lqi ich va nhung rui ro co thS g~p phai khi tiem chung.

2. Huo-ng d~n nguai duqc tiem chung ho~c gia dinh tre duQ'c tiem chungcach theo d5i, xu tri phan ung sau tiem chung.

3. Tuan thu dung cac quy dinh vS chuyen mon trong tiem chung.

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Di~u 26. Trach nhiem cua cha, me ho~c ngiro'i giam h(>ciia tre va cuanguo; oUq'c tiem chung

1.Cha,me hoac nguoi giarn ho cua tre phai dang kY tiem churl&;cho tre SAU

khi sinh hoac khi di tiem chung lfuld~uva dira tre di tiem chung thea quy dinh,

2. Cac d6i nrong thuoc dien tiem chung rna rong chu dQngdang kY tiemchung voi co sa y ts tai dia phirong va di tiem chung d~y du thea quy dinh.

3. Ph6i hop, tuan thu d~y du cac huang d&ncua can bQy tS khi thirc hientiem chung va thea doi, xu tri phan img sau tiem chung,

4. Khai bao d~y du, trung thirc cac thong tin v~ tinh trang sire khoe trongthai gian tiem chung va sau khi tiem chung.

5. Phai thl,l'chi~ntiem chung trong tfuang hqp co chi dinh v~chuyenmono

6. LUll gift, bao quan s6 thea d5i tiem chung ca nhan. Cung c~p thong tinv~ vi~c tiem chung cua tre cho co sa giao d\lc quy dinh t':lidiSma khoan 1 Di~u23 Nghi dinh nay khi co yeu c~u.

ChU'O'ng V

DIEU KHoAN THI HANH

Di~u 27. Hi~u h!c thi hanh

Nghi dinh nay co hi~u ll,l'cthi hanh kS tu ngay 01 thing 7 nam 2016.

Di~u 28. f)i~u khoan chuy~n ti~p va 1(>trinh th\fc hi~n

1. D6i vai co sa tiem chung da duqc c~p gi~y chUng nh~ du di~u ki~ntiem chung truac ngay Nghi dinh nay co hi~u ll,l'cthi hanh duqc hO':ltdQngdSnhSt thai gian ghi tren gi~y chUngnh?n va phai hoan thanh vi~c cong b6 co sa dudi~u ki~n tiem chung theo quy dinh t':liDiSu 11 Nghi dinh nay truac khi gi~ychung nh?n du diSuki~n tiem chung hSt h':ln.

2. D6i vai co sa tiem chung da nQPh6 so dSnghi c~p gi~ychung nh?n dudiSuki~n tiem chung truac ngay Nghi dinh nay co hi~u ll,l'cthi hanh nhung chuaduqc c~p gi~y chUng nh?n du diSu ki~n tiem chung, Sa Y tS co trach nhi~mhuang d~n co sa thllc hi~n vi~c cong b6 co sa du diSu ki~n tiem chung thea quydinh t':liDiSu 11Nghi dinh nay trong thai h':ln60 ngay kS illngay Nghi dinh nayco hi~u 1\IC thi hanh.

f)i~u 29. Trach nhi~m thi hanh

1. Cac BQ truong, Thu truong co quan ngang BQ, Thu truang co quanthuQc Chfnh phu, Chu tich Uy ban nhan dan tinh chiu trach nhi~m thi hanhNghi dinh nay.

17•2. BQ tnrong BQY tS trong pham vi nhiem vu, quyen han cua minh ph6i

hQ'Pvoi cac BQ, nganh co lien quan quy dinh chi tiSt, huang d~n thi hanh cacdieu, khoan dtroc giao trong Nghi dinh nay dS dap irng yeu c~u quan 1y nhanuoc vS hoat dong tiem chung..'.

NO'i nh@n:- Ban Bi thir Trung irongDang;- TM tuong, cac Ph6 TM nrong Chinh phu;- Cac BQ, cc quan ngang BQ, CO' quan thuoc Chinh phu;- HDND, UBND cac tinh, thanh ph6 tnrc thuoc Trung irong;- Van phong Trung uong va cac Ban cua Dang;- Van phong T6ng Bi tlnr;- Van phong Chu tich mroc;- HOi d6ng Dan toe va cac Uy ban cua QU6e hoi;- Van phong Quoc hoi;- Toa an nhan dan t6i cao;- Vi~n Ki~m sat nhan dan t6i eao;- Ki~m toan Nha mroc;- Uy ban Giam sat tai chinh Quoc gia;- Ngan hang Chinh sach xii hQi;- Ngan hang Phat tri~n Vi~t Nam;- Uy ban Trung uang M~t tr~n T6 qu6c Vi~t Nam;- CO'quan Trung uang cua cac doim th~;- VPCP: BTCN, cac PCN, Trq ly TTg; TGD C6ng TTDT,cac V1,l,C1,lC,dan vj tn,rc thuoc, Cong bao;

- LUll: VT, KGVX (3b). r/45

TM. CHiNH PHD.:.THDTUONG

Nguy~n Xuan Phuc

SAO Y BAN CHiNHBO GIAO THONG vAN TAlCVCYTE

s6:f;j (1SY-CYT Ha N(Ji, ngay ~) thimg!) niim 2016

Noi nh@n:- Cae b~nh vi~n, phOng kham, TTYT c6giuang b~nh (qua Website C1,leY t~);- C1,lCtruOng, eae Ph6 C1,lCtruOng (d~ b/e);- LUll: VT, NVYD.

Ph1}. lucMAUTHONG BAo co SO'DU DIEU KI~N TIEM CHUNG

(Kern thea Nghi dinh s6 10412016IN[)-CP ngay 01 thang 7 nam 2016 cua Chinh phu)

2CONG HoA xA HOI CHU NGHiA VI~T NAM

DQc I~p - T\f do - Hanh phtic

:. 3So: .1 . 4 'h ' ~ 20...... ......, ngay ... tang ... nam .....

THONGBAoCO' sir du di~u ki~n tiem chung

Kinh ,. 51 gUl: .

Ten co sa thong bao: .Dia chi: 6 .............••.•............................•....•

N ,. d' d~ ,guo"! irng au co so: .Dien thoai lien he: Email (nSu co): .

Can cir Nghi dinh s6 104/20161ND-CP ngay 01 thang 7 nam 2016 cuaChinh phu quy dinh vS hoat dong tiern chung, kinh dS nghi Quy co quan xemxet, dang tai thong tin theo quy dinh,

Thu trurrng dan vi(Ky, ghi ro ho, ten va dong ddu)

1 Ten co quan chu quan cua co sa d~ nghi thong bao du di€u kien tiern chung2 Ten co sa d~ nghi thong bao du di€u kien tiem chung3 Chtr viSt tat ten co sa d~ nghi thong bao du di~u kien tiern chung4 Dia danh5 Ten co quan tiep nhan h6 so' d€ nghi thong bao au ai~u ki~n tiem chung6 Dja chi Cl_l th~ cua co' sO-a€ nghj thong bao au ai~u ki~n tiem chUng