Integration with the RS ERZL and PUMP AIS OMS subsystems in accordance with the order of the MGFOMS No. 27 of January 30, 2017 and the order No. 04-03-04/867 of January 23, 2018
From January 23, 2018, according to the order of the MOSCOW CITY FUND FOR MANDATORY HEALTH INSURANCE (hereinafter referred to as MGFOMS) No. 04-03-04 / 867 "On ensuring information interaction between participants in the compulsory medical insurance system in Moscow", all medical organizations must, starting with invoices for January 2018, invoices for provided under compulsory medical insurance medical care form only using the subsystem of PERSONALIZED ACCOUNT OF MEDICAL CARE OF THE AUTOMATED INFORMATION SYSTEM OF COMPULSORY HEALTH INSURANCE (hereinafter PUMP AIS CHI).
To do this, it is necessary to carry out a set of organizational and technical measures related to obtaining a medical organization (hereinafter referred to as MO) access to the subsystems REGIONAL SEGMENT OF THE SINGLE REGISTER OF INSURED PERSONS (hereinafter WG ERZL) and PUMP (Order MGFOMS No. 27 of 01/30/2017).
In the MEDWORK MEDICAL INFORMATION SYSTEM, an integration module for interaction with the ERZL PC and PUMP AIS OMS MGFOMS subsystems has been developed. The developed integration module allows real-time data exchange with PC ERZL and PUMP. The information exchange will be carried out in accordance with the requirements of the MGFOMS set out in the technical documentation for the subsystems of the RS ERZL and PUMP (Appendix No. 2 to the order of the MGFOMS No. 27 dated January 30, 2017).
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MIS MedWork allows medical organizations to perform the following functions of interaction with the MGFOMS:
Case Management
1.1. At the stages of Maintaining the patient’s basic data and Planning for admission, the unambiguous identification of APs, including those from other cities, is carried out in RS ERZL, identification or registration of newborns and those not identified in RS ERZL, with the assignment of appropriate identifiers and types of patients from RS ERZL.
1.2. This identifier is indicated in all electronic PMI documents transmitted to PUMP, along with the type of patient: 0 - SP, 1 - Nonresident, 2 - Newborn, 3 - Unidentified.
2. Preparation of documents in MIS MO
2.1. Doing medical records patients in all cases of medical care in this MO (in electronic output screen forms, as well as in paper forms requiring the signature of a medical worker and the seal of the Moscow Region)
3. Updating MO directories in PUMP:
3.1. Reference books of structural subdivisions of the Moscow Region (departments);
3.2. Directory of medical workers - employees of the Ministry of Defense;
3.3. Directory of employment of medical workers of the Moscow Region by departments of the Moscow Region according to staffing.
4. Filling in statistical medical / clinical information on cases of medical care (for example, the form of the Outpatient Coupon in the amount in accordance with the form No. 025-1 / y according to the Order of the Ministry of Health of 12.15. according to forms No. 066 / y-02 and 066-1 / y-02 in accordance with the Order of the Ministry of Health of Russia dated December 30, 2002 No. 413, - hereinafter form 066, other documents of primary medical statistics);
5. Daily transfer of new and edited PMI documents from MIS MO to PUMP (in automatic mode):
5.1. The PUMP exposes the FLC for each transmitted document to the PMI and returns the control result for each PMI to the MIS MO (technically, the result of the FLC is stored on the PUMP server and transmitted back to the MIS MO upon an automatically generated request from the MIS - according to the schedule or upon completion of the FLC task of the transferred PMI package) .
6. Obtaining a list of PMI documents (TAP / form 066) according to the specified search conditions;
7. Calling a copy of the PMI document by the selected identifier;
8. Editing in MIS MO incorrect PMI documents based on the results of the FLC during the open reporting period and making appropriate corrections to the called copies of PMI documents in PUMP.
7. NSI AIS OMS - a list of directories and codifiers AIS OMS Directory "AIS OMS Subscribers" - "sprabo хх.dbf"
The directory is designed to provide automated exchange of information in the AIS OMC and is used when sending and receiving information packages for various purposes, as well as to control the operation of the corporate network.
Classification objects in the Directory are AIS OMS subscribers.
The sign of the classification is the "Mnemonic name of the subscriber" in conjunction with the "Type of the subscriber".
Directory structure
| Field name | Type of | The size | Purpose |
| Abn_ID | Number | 6 | Subscriber ID |
| Abn_name | Symbol | 27 | Mnemonic name of the subscriber |
| Abn_type | Symbol | 1 | Subscriber type by code "tipaboXX" |
| Object_ID | Number | 6 | Object ID |
| Tip_answer | Symbol | 1 | Type of response to RS ERZL request by code "tipotvXX" |
| Status | Symbol | 1 | Subscriber status |
| Name | Symbol | 40 | Short name of the subscriber |
| Pilot | Symbol | 1 | Reserve |
The Abn_name parameter is used as the primary key when indexing the Directory data file.
“Subscriber type” codifier – “tipabo хх.dbf”
The AIS OMS subscriber type codifier is used as an auxiliary for the AIS OMS subscriber directory in order to determine the subscriber's responsibility as legal entity.
Explanations. A number of AIS OMS subscribers have more than one physically different workstation of a corporate network user. For unambiguity in the provision of reports on the CHI accounts of a legal entity of the CHI system, the type of subscriber sets the only address at which data is exchanged between the legal entity, the CMO and the MGFOMS data center when data is exchanged on the CHI account. The rest of the workstations of this legal entity are given the opportunity to access the AIS CHI databases without the right to provide reports on CHI accounts.
The elements of the set of objects included in the Codifier are the possible types of AIS OMS subscribers.
The sign of the classification is the name of the subscriber type.
Codifier Structure
| Field name | Type of | The size | Purpose |
| Tip_ab | Symbol | 1 | Subscriber type code |
| Name_type | Symbol | 40 | Type name |
The Tip_ab parameter is used as the primary key when indexing the Codifier data file.
Codifier "Type of response to the request ERZ" - "tipotv xx.dbf"
The codifier of the type of responses to the RS ERZL request is used as an auxiliary for the directory of AIS OMS subscribers in order to indicate the amount of data provided different types AIS OMS subscribers at the request of RS ERZL.
The elements of the set of objects included in the codifier are the types of responses to the request of RS ERZL ("0" - full, "1" - abbreviated).
A sign of classification is the name of the response type to the request. Establishes MGFOMS
Codifier Structure
| Field name | Type of | The size | Purpose |
| Tip_answer | Symbol | 1 | Response type code (amount of data about the insured person) |
| Name_type | Symbol | 50 | Response Description |
The Tip_answer parameter is used as the primary key when indexing the Codifier data file.
Directory "Streets of Moscow" - "spr_ul xx.dbf"
The directory is designed to generate data on the Moscow address of an object (organization and individual) in the AIS OMC system. It is used in the subsystems of the AIS MHI for maintaining RS ERZL, in the formation of the Moscow address of the patient when registering and maintaining a personalized database on the accounts of patients treated in the Moscow City CHI program, in the NSI subsystems for maintaining databases about the objects of the MHI system (MO, SMO).
The elements of the set of objects included in the Directory are the streets of the city of Moscow according to the "All-Moscow street classifier", which is supported by the Service for Maintaining Citywide Classifiers (hereinafter referred to as SVOK).
A sign of classification is the name of the street.
Directory structure
As a primary key when indexing the data file of the Codifier, the Kod_fo parameter is used in conjunction with the relevance indicator (the Priznak parameter).
Codifier "Administrative-territorial districts of Moscow" - "admokr xx.dbf"
The codifier is intended to determine the administrative-territorial location of the CHI system object in Moscow. It is used in the AIS OMS as auxiliary information on the Moscow address of the object - in the subsystems of maintaining RS ERZL, elements of NSI OMS, in other subsystems of the AIS OMS, etc.
The objects of classification in the Codifier are the administrative-territorial formations (districts) of the city of Moscow. Conducted on the basis of the "All-Moscow classifier of territorial units of Moscow", which is supported by the SVOK.
The sign of classification is the name of the administrative district.
Codifier Structure
| Field name | Type of | The size | Purpose |
| cokr | Symbol | 2 | County code |
| Name_okr | Symbol | 40 | Name |
The parameter Cokr is used as the primary key when indexing the Codifier data file.
Codifier "Territory of the Russian Federation" - "territ xx.dbf"
The codifier is intended to determine the administrative-territorial location of the subject of the CHI system in the Russian Federation. It is used in the RS ERZL subsystem for maintaining a database of insured citizens in calculating the policy number of a single sample, when interacting with the FFOMS for registering the policy of the insured and with the TsVDP for personalizing and issuing the policy. Also, when creating and maintaining a personalized database of accounts of patients treated in the Moscow Region under the Moscow City Compulsory Medical Insurance Program, registered at the place of insurance and residence in another constituent entity of the Russian Federation.
The object of classification in the codifier is territorial entity RF.
A sign of classification is the name of the administrative-territorial formation of the Russian Federation.
Codifier Structure
| Field name | Type of | The size | Purpose |
| C_t | Number | 3 | Territory code of insurance (residence) |
| Name_t | Symbol | 40 | Territory name |
| C_OKATO | Symbol | 5 | Territory code according to the All-Russian Classifier of Administrative-Territorial Entities of the Russian Federation (OKATO) |
The C_t parameter is used as the primary key when indexing the Codifier data file.
Codifier of countries and states - "COUNTRхх.dbf".
The codifier of countries and states is designed to automate the registration of the citizenship of the population insured under compulsory medical insurance. It is used in the AIS OMS subsystem for maintaining RS ERZL. Includes codes of the All-Russian classifier of countries and states: digital and three-letter.
The object of the codifier is a public entity.
A sign of classification is the short name of the country/state.
Codifier Structure
| Field name | Type of | The size | Purpose |
| C_oksm | Number | 3 | Digital code of the country according to the All-Russian classifier of countries and states OKSM |
| Name | Symbol | 35 | Short name of the country/state |
| Code | Symbol | 2 | Country short name code |
| Alfa3 | Symbol | 3 | Letter country code according to OKSM |
To the order of MGFOMS
No. dated "___" _____________ 2016
REGULATIONS
FILE DATA EXCHANGE IN AIS OMS
during the information interaction of the participants of the mandatory health insurance
Moscow
Version 1.5.3
Moscow City Compulsory Medical Insurance Fund
2016
3.1 MO report files in CMO 27
3.1.1 MoD Handbooks 27
5.1 "Number book" of policies 160
5.2 "Stop-list" of policies 160
5.3 "Start List" of policies 163
Introduction. ten
1. Forms of reporting documentation on paper during file exchange of data between participants in the CHI system when reconciling invoices for medical care provided to patients during the reporting period 11
1.1 Form of the Passport of the MO account for medical care provided to the insured HMO. 13
1.1.1 Instructions for filling out the Passport of account MO 14
1.2 Form of the Protocol of HMOs for accepting the invoice of the MO for medical care provided to the insured HMOs for the reporting period. 16
1.2.1 Instructions for filling out the Protocol for the acceptance of CMO account MO 17
1.3 Form of the Passport of the account of the Moscow Region for medical care provided during the reporting period to patients insured in the territory of another subject of the Russian Federation (nonresident). 21
1.4 Form of the Protocol of acceptance for payment of the invoice of the Ministry of Defense for medical care provided to the insured on the territory of another subject of the Russian Federation for the reporting period. 22
2. Rules for calculating the cost of medical care provided to patients for the reporting period 23
2.1 General provisions according to the calculation of the cost of medical care 23
3. Protocol for the exchange of data between the Ministry of Defense and the HMO when reconciling invoices for medical care provided to insured patients 26
3.1 MO report files in CMO 27
3.1.1 MoD Handbooks 27
3.1.2 MO report files on medical care provided to patients insured by HMOs 30
3.2 Report of the health insurance organization to the MO on the result of automated control / examination of the personalized invoices of the MO for medical care provided to the insured during the reporting period 41
4. Report of the CMO to the MGFOMS on accepted personalized accounts declared by the Ministry of Defense for the reporting period. 46
4.1 Report of the CMO to the MGFOMS on personalized accounts of the Ministry of Defense for the reporting period. 46
4.2. Report of the CMO to the MGFOMS on financial interaction with the Ministry of Defense for the reporting period. 49
4.3. Report of the CMO to the MGFOMS on the defects / violations identified by the CMO in the paid invoices of the Ministry of Defense during the medical and economic examination (scheduled, targeted) and the examination of the quality of medical care (planned, targeted). 51
5. Report of the HMO to the MGFOMS on the volume and cost of medical care accepted by the HMO for payment 52
5.1 Report files of the HMO in the MGFOMS on the volume and cost of medical care accepted by the HMO for payment 52
5.2 HMO report form on the volume and cost of medical care provided to the insured MO during the reporting period and accepted by the HMO for payment 56
6. Protocol for the exchange of data between the Ministry of Defense and MGFOMS when reconciling invoices for medical care provided to patients from other cities during the reporting period. 58
6.1 Report of the Ministry of Defense to the MGFOMS on personalized bills for medical care provided to patients from other cities. 58
6.2 Report of the MGFOMS to the Moscow Region on the result of automated control of personalized invoices of the Moscow Region for medical care provided to patients from other cities during the reporting period 61
7. NSI AIS OMS - list of directories and codifiers AIS OMS 62
8. Description of error codes during format-logical and semantic control of patient registries and registries medical services. 82
8.1 Checking the entries in the Patient Register file. Syntactic control of records and verification of coded information 82
8.2 Identifying duplicate records 84
8.3 Checking the connectivity of the patient registry file with the patient health services registry file 84
8.4 Checking the correctness of the determination of the CMO - payer 84
8.5 Checking the records of the files "Register of medical services for patients". Syntax control 85
8.6 Identification of duplicate entries in the file "Register of medical services for patients". 87
8.7 Checking the compliance of the data given in the records of the invoice file in an encoded form with the codifiers and reference books of the reference data valid in reporting period 87
8.8 Checking the correct organization of the patient account 90
9. Regulations for determining the payer for the medical care provided 107
Rules for file interchange on requests for production CHI policies 112
1. General provisions on RS ERZL. 112
2. Structure, format and rules for filling in the CMO report files on applications for the issuance of CHI policies. 115
3. Choosing an algorithm for generating an application 127
3.1 Definitions of the algorithm (scenario) when forming an application for the issuance of a policy 127
3.2 Description of scenarios for the formation of applications for the issuance of policies and features of filling in application files 130
4. Rules for filling type files
depending on scenario (code) 136
5. Reports of the MGFOMS to the SMO according to the RS ERZL database 159
5.1 "Number book" of policies 160
5.2 "Stop-list" of policies 160
5.3 "Start List" of policies 163
6. Additional services of AIS OMC upon request to RS and CA ERZL 165
6.1 Structure of requests to RS ERZL 166
6.2 Structure of requests to CA ERZL 166
7. The procedure for generating a message file about the result of loading 167
Accepted abbreviations and terms
| AIS OMS | Automated information system of compulsory medical insurance |
| APK | Hardware and software complex |
| DB | Database |
| VMP | High-tech medical care |
| Sun | Temporary certificate - a document confirming the execution of the policy and certifying the right to free medical support |
| CHI document | Policy CHI of the old sample, CHI policy of a single sample, temporary insurance certificate for CHI |
| DUL | Document proving the identity of the insured person, on the basis of which the CHI policy is issued |
| ERZL | The unified register of insured persons under CHI in the Russian Federation, organized and supported by the FFOMS |
| EPP | The number of the policy of a single sample. Is the identifier of the insured person in ERZL |
| ZL | A person insured under compulsory medical insurance who received CHI document |
| Nonresident | A person insured under compulsory health insurance in another constituent entity of the Russian Federation |
| IP | information package |
| KSG | Clinical and statistical group of diseases - specialized medical care in hospitals and day hospitals |
| MGFOMS | Moscow City Compulsory Medical Insurance Fund |
| MO | Medical organization of the CHI system |
| MO with PF | Medical organization financed on a per capita basis |
| MO with GR | Medical organization that performs horizontal calculations from per capita funding for medical care provided by referrals from medical organizations to their attached population |
| MS | Medical standard - a set of diagnostic and treatment technologies provided within the framework of a completed case of hospitalization in an inpatient setting |
| MS IS | Medico-sociological integrated system - AIS CHI portal |
| NWO | Emergency medical care |
| NSI | Reference information |
| CHI | Compulsory health insurance |
| Software MO with PF hospital type | Polyclinic Department with an attached population, which is structural unit hospital-type medical organization |
| PPO | Application software |
| teaching staff | Application software system |
| PF | Per capita financing is a way of financing medical organizations providing primary health care according to the standard for the attached population |
| Register of patients (accounts) | List of MO patients who received medical care under the compulsory medical insurance program for the reporting period. The register of patients, supplemented by the tariff cost of medical services provided to the patient by the Ministry of Defense during the reporting period and registered in the register of services, determines the register of accounts of the Ministry of Defense |
| Register of services | Consolidated list of medical services provided to patients of the Moscow Region under the CHI program for the reporting period. The connection with the register of patients is carried out according to the CHI document registered in the register of patients and the register of medical services |
| RS ERZL | ERZL regional segment |
| CMO | Insurance medical organization |
| NSR | Emergency |
| joint venture | Insurance affiliation |
| Insurer | HMO that has registered the document of compulsory health insurance of the insured |
| Patient account | The tariff cost of medical services (in accounting units) provided to the patient of the Moscow Region under the CHI program for the reporting period. The number of MO accounts is determined by the number of patients treated in the MO during the reporting period |
| Mon | Attached population - a list of those insured under compulsory medical insurance in Moscow, attached to medical organizations providing primary health care |
| TFOMS | Territorial CHI fund |
| FLC | Format-logical control |
| ESRD | Territorially attached population |
| FFOMS | federal fund CHI |
| CAPC | Central hardware and software complex AIS OMS |
| CVDP | Policy issuance and personalization center |
| COI | Information Processing Center at CAPC |
| CA ERZL | The central segment of the unified register of insured persons. |
| EP | Electronic policy |
Legislative and regulations in CHI system
1. the federal law dated November 29, 2010 No. 326 - FZ "On Compulsory Medical Insurance in the Russian Federation".
2. The rules of compulsory health insurance approved by the order of the Ministry of Health and social development RF dated February 28, 2011 No. 158n.
3. The procedure for maintaining personalized records in the field of compulsory medical insurance, approved by order of the Ministry of Health and Social Development of the Russian Federation dated January 25, 2011 No. 29n.
4. General principles construction and functioning of information systems and the procedure for information interaction in the field of compulsory medical insurance, approved by order of the FFOMS dated 07.04.2011 No. 79.
5. The procedure for organizing and monitoring the volume, timing, quality and conditions for the provision of medical care under compulsory medical insurance, approved by order of the Federal Compulsory Medical Insurance Fund dated 01.12.2010 No. 230.
6. Accounting for surgical operations within the framework of personalized accounting in the field of CHI (ref. FFOMS dated 05.04.2012 No. 2194 / 21-4 / and)
7. The list of types of high-tech medical care provided at the expense of compulsory medical insurance funds was approved by Decree of the Government of Moscow dated December 24, 2015 No. 949-PP.
Guiding documents on the organization of information exchange in AIS OMS:
8. Automated information system of compulsory medical insurance in Moscow. OMSGW Universal Mail Gateway Interface, 2011.
9. Automated information system of compulsory medical insurance in Moscow. Protocol of information exchange with the regional and central segments of the ERZL, 2011.
10. Automated information system of compulsory medical insurance in Moscow. Information exchange protocol for the transmission of regulatory and reference information in the corporate network, 2011.
11. Instructions for recording medical care provided in a round-the-clock hospital and in day hospitals (outside the per capita financing system) for compulsory medical insurance (Appendix 3 to tariff agreement for 2016 dated December 25, 2015).
12. The procedure for information interaction between participants in compulsory medical insurance in the automated information system of compulsory medical insurance in Moscow, approved by order of the Moscow State Compulsory Medical Insurance Fund dated 01.12.2011 No. 192.
13. Regulations for maintaining in the AIS CHI information on the attachment of insured persons to medical organizations in Moscow, version 1.1 dated 11/20/2015.
14. Procedure for calculation and transfer financial resources for per capita financing to medical organizations in Moscow providing primary health care in outpatient settings attached population for 2016 (Appendix 12 to the Tariff Agreement for 2016 of 12/25/2015).
17. Guidelines on registration in the AIS CHI of the first stage of medical examination of the adult population and orphans and children in difficult life situations staying in stationary institutions (version 1.7, 2016).
18. Methodological recommendations for accounting in the AIS CHI of the second stage of medical examination of the adult population and orphans and children in difficult life situations staying in stationary institutions (version 1.7, 2016).
19. Guidelines for recording in the AIS OMS medical examination of orphans and children left without parental care, including adopted (adopted), taken under guardianship (guardianship), in a foster or foster family ( version 1.2, 2016).
20. Regulations for the reception and transmission of data on medical care provided for emergency indications to patients not identified in the CHI system during information interaction in the CHI AIS of participants in the CHI system (version 1.4 from 26.04.16).
Application
to the order of MGFOMS
Description of the web services of the system of the Regional Segment of the Unified Register of Insured Persons of the Automated Information System of Compulsory Medical Insurance
Version 2. 0 from 01.01.2001
Effective from 08.08.2016
Moscow
1......... GENERAL DESCRIPTION OF THE PRINCIPLES OF OPERATION OF THE WEB SERVICES OF RS ERP AIS OMS 2
1.1 Purpose of the System.. 2
2......... Requirements for data exchange formats .. 2
3......... Order of interaction.. 2
3.1 General information. 2
3.2 Reading data from RS ERZL.. 2
3.3 Recording data in RS ERZL.. 2
3.4 List of data fields of the RS ERZL web service.. 2
3.5 Diagnostic codes and messages. 2
4......... Restrictions on access to certain methods for different categories of users.. 2
4.2 Access Matrix. 2
4.3 Features of access to historical data.. 2
5.1 Searching for an SP and obtaining its identifier current policy OMS.. 2
5.2 Simplified receipt of the ID of a valid CHI policy.. 2
5.3 Transfer of information to RS ERZL about insured persons from other cities. 2
5.4 Transfer of information to RS ERZL about newborns. 2
5.5 Transfer of information to RS ERZL about unidentified persons. 2
5.6 Linking records. 2
APPENDIX 1. STRUCTURE OF DIRECTORIES.. 2
APPENDIX 2. Rules and restrictions when working with attachments 2
APPENDIX 3. Format-logical control.. 2
LIST OF ABBREVIATIONS AND DEFINITIONS
Reduction | Definition |
|
AIS OMS MGFOMS | Automated information system of compulsory medical insurance of the Moscow City Compulsory Medical Insurance Fund |
|
Automated workplace |
||
Database |
||
Provisional certificate |
||
Federal State Unitary Enterprise Goznak |
||
Voluntary health insurance |
||
A document confirming the fact of insurance (compulsory medical insurance policy, temporary certificate) |
||
Identity document |
||
Unified Medical Information Analytical System of Moscow |
||
Unified register of insured persons |
||
Office of the Civil Registry of Moscow |
||
Insured person |
||
Identifier |
||
Nonresident insured person |
||
An identification number taxpayer |
||
counterparty |
||
Moscow City Compulsory Medical Insurance Fund |
||
Medical organization |
||
Multifunctional delivery centers public services Moscow |
||
Medical and economic expertise |
||
unidentified person |
||
Newborn |
||
Reference information |
||
All-Russian classifier countries of the world |
||
Compulsory health insurance |
||
Portal of public services of Moscow |
||
Compulsory medical insurance policy, a document confirming the fact that the insured person is insured in the CHI system |
||
Pension Fund Russian Federation |
||
Regional segment |
||
Regional segment of the unified register of insured persons |
||
Insurance medical organization |
||
Emergency |
||
Insurance number of an individual personal account |
||
Territorial Compulsory Medical Insurance Fund |
||
Unique identity code in AIS OMS MGFOMS |
||
Universal electronic card |
||
Full Name |
||
Format-logical control |
||
Federal Compulsory Medical Insurance Fund |
||
Central segment |
||
Central segment of the unified register of insured persons |
||
Examination of the quality of medical care |
||
Hypertext Transfer Transport Protocol Security - a secure protocol for transferring hypertext information |
||
Simple Object Access Protocol - a simple protocol for accessing objects - a protocol for exchanging structured messages in a distributed computing environment |
||
Unicode Transformation Format, 8-bit - Unicode transformation format, 8-bit |
||
Web Services Description Language - Web services description language based on XML |
||
eXtensible Markup Language - extensible markup language |
1. GENERAL DESCRIPTION OF THE PRINCIPLES OF OPERATION OF WEB SERVICES OF RS ERP AIS OMS
The work of AS-clients with the System is based on the concept of synchronous "request-response" interaction. The asynchronous request mechanism is not used.
1.1 Purpose of the System
The regional segment of the Unified Register of Insured Persons is designed to collect, store, process and provide data on persons insured in Moscow, as well as on persons who applied for medical assistance to medical organizations in Moscow.
MGFOMS, as part of its activities, maintains RS ERZL, and also ensures, within its competence, the protection of information constituting restricted access information.
Maintenance of RS ERZL includes main and auxiliary processes.
Main processes:
1) receiving from MO/SMO information about APs and entering them into RS ERZL;
2) acceptance, accounting and execution of CMO applications for the issuance of CHI policies; interaction with GOZNAK; accounting of issued CHI policies, including their status;
3) accounting for the attachment of IPs to medical organizations in Moscow, including maintaining a register of scans of documents-applications of IPs for attachment to the Moscow Region;
4) registration of newborns born in Moscow;
5) registration of unidentified persons who received medical care in the Moscow Region;
6) registration of non-resident APs (third-party TFOMS) who received medical care in the Moscow Region;
7) accounting of data on IP, such as:
SP address;
AP contact details;
Citizenship of AP;
Social status, disability, AP benefits;
Information about identity documents of the IP;
