The Health and Planning Commission on the issuance of a new type of rural cooperative medical inter-provincial medical network reporting referral process and information exchange operating norms:

Provincial, autonomous regions and municipalities directly under the Central Government Health and Family Planning Commission, the plan single-listed municipal Health and Family Planning Commission, the National Health and Family Planning Commission Budget Management Hospital:
In accordance with the "National New Rural Cooperative Medical Off-site Medical Network Report Implementation Program" (National Health Care Grassroots Development (2016) No. 23) requirements, in promoting the work of the new agricultural and off-site medical reporting, the provinces (districts, cities) should establish a different-site medical referral system to build a good medical order. In order to standardize the management of off-site medical referrals, we have formulated the "New rural cooperative medical inter-provincial medical network reporting referral process and information exchange operating norms (trial)" (available for download from the National Health and Family Planning Commission website). It is now issued to you, please carefully organize the implementation.
Nout-type rural cooperative medical inter-provincial medical network reporting and referral
process and information exchange operating norms (trial) 1, general rules
Article 1 for the standardization of cross-provincial medical order, the implementation of the hierarchical referral system requirements, to achieve cross-provincial medical treatment reporting objectives, according to the General Office of the State Council on the promotion of The guidelines for the construction of a hierarchical diagnosis and treatment system (No. 70 of the State Administration of Health and Family Planning (2015)) and the requirements of the National Health and Family Planning Commission and the Ministry of Finance for the issuance of a new type of national rural cooperative medical off-site medical treatment network report implementation plan (National Health Care Grassroots Hair (2016) No. 23) set out this operating specification.article
Article 2 This Code applies to cross-provincial medical network reporting fixed-point medical institutions and cross-provincial medical reporting provincial settlement centers (or regional population health information platforms) as well as co-ordination areas for cross-provincial medical network reporting and referral related business.
Article 3 The new agricultural and cross-provincial medical network reporting referral refers to the process of attending patients who meet the conditions for cross-provincial referral to go to the province for medical treatment after going through the procedures for out-of-province medical referral in accordance with the local referral regulations. The participating agencies (or medical institutions, the same between relevant institutions) shall promptly report the standardized referral information to the national new agricultural information platform (or regional population health information platform) through the provincial-level new agricultural joint information platform. The national platform is then pushed by the provincial platform to the referral medical institutions, to achieve the identification of the masses for medical treatment and to provide reporting services.
Article 4 Of this code of practice aims to guide the standardized order of cross-provincial referrals, standardize the management process of inter-provincial referrals, and clarify the scope of responsibilities of new agricultural joint management departments, operating institutions and medical institutions at all levels.2. Scope of fixed-point medical institutions
Article 5 Cross-provincial medical treatment network reporting fixed-point medical institutions refers to the National Health and Family Planning Commission "on the selection and reporting of new agricultural and cross-provincial medical treatment to the network medical institutions and pilot co-ordination of regional information notice" (National Health Office grass-roots Letter (2016) No. 846) selected with networking conditions, and with the provincial (or co-ordination area) health and family planning departments signed a fixed-point agreement to undertake the new agricultural and cross-provincial medical network reporting work of medical institutions, the specific list of medical institutions can be obtained through the national platform.
6 non-agreed fixed-point referral medical institutions shall not assume the functions of cross-provincial referral and network reporting.
Article 7 for the convenience of patients in hospital, the participating institutions may select a number of designated medical institutions as transfer to the hospital at the place of medical treatment, in which the participating patients choose their own.3. Cross-provincial medical network reporting the qualification of patients for referral
Article 8 Participating patients in the provincial medical institutions can not be diagnosed, or after diagnosis without treatment conditions of difficult conditions, according to the provisions of the inter-provincial referral procedures.
9th, patients in foreign workers, family visits, emergency departments and other places, in principle, should also do the first consultation at the grass-roots level, regulate the inter-provincial medical referral order.
(1) the report shall be reported to the new agricultural joint management department of the participating land within 5 working days from the date of hospitalization, and the procedures for referral and filing shall be handled.
(2) Patients who are unable to properly handle the procedures for the filing of referrals due to double holidays, statutory holidays, etc., may apply to the co-ordinating regional agency for a replacement referral by telephone, network and other means before the discharge settlement.article
Persons who have been out of work for a long time and who have established stable labor contract relations, the elderly who have invested in children and other persons who have lived in different places for a long time may, in accordance with the Provisional Regulations on Residence Permits, obtain residence permits in their places of residence and participate in basic medical insurance for work places or places of residence.4. Referral management process
Article 11 Participating patients shall hold a resident health card (or cooperative medical card), an identity card (or a household register and guardian's ID card) and go through various forms of referral procedures at the participating places.
12 of the relevant district operators to fill in the referral contents through the information system.
(1) to fill in the referral contents in accordance with Annex 1,"New Agricultural and Inter-provincial Medical Network Report Referral Form";
(ii) For participating patients who need to be reimbursed off-site, they should fill in bank accounts and other information, as detailed in the "New Agricultural and Inter-provincial Medical Network Reporting Data Exchange Technology Program";
(3) For infants and young children who have not obtained an identity card, the name is XXX's son (daughter), XXX is the participating parent (or guardian), ID card and cooperative medical certificate is XXX's identification number to ensure the consistency of patients.
13th, the operators may fill in the referral contents through the same level business information system, the provincial-level new agricultural joint information platform or the national new agricultural joint information platform.
(1) In areas where the function of the new agricultural joint information system at the same level or at the provincial level is perfect, the operators shall fill in the referral information through the same level information system, and
(2) in areas where the function of the provincial new agricultural joint information system is not perfect, the operators may fill in the referral content directly through the national new agricultural joint information platform.
The relevant information system for new agricultural cooperation at all levels shall, in accordance with the rules, generate the number of referral documents for cross-provincial medical network reporting, which shall serve as the identifier of the referral slips. The number of referral slips is 20, of which 1 to 6 are co-ordinated area codes, 7 to 14 bits are dates, and 15 to 20 bits are sequential codes. The sequential code generation rules are as follows:
(1) co-ordinating the region's new agricultural business information system generation range 000001 to 400000;
(2) provincial new agricultural business information system generation range 400001 to 800000;
(iii) national new agricultural business information platform generation range 800001 to 999999.
the contents of article 15, the referral information shall be reported to the national new agricultural joint information platform in a timely manner through the provincial-level new agricultural joint information platform.
Article 16 shall be generated in a paper version in accordance with Annex 1, "New Nong joint inter-provincial medical network report referral form", printed and handed over to patients, as a voucher for patients to seek inter-provincial medical referral. To encourage the organization to use information technology, innovative service means, to provide patients with electronic referral vouchers.
Article 17 Participating patients shall, when registering for admission, voluntarily present residents' health cards (cooperative medical certificates), identity cards (or household registers and guardian's ID cards), admission notices (hospital certificates), and referral forms to designated medical institutions.
18 designated medical institutions shall strictly check the identity information of the patients, check the identity cards (or account books and guardian ID cards) of the participating patients themselves, and go through the registration procedures for hospitalization.
Article 19 of the Article 19 shall not be directly reported to the participating new agricultural joint management departments for the filing and implementation of referrals for cross-provincial medical expenses., the term of the referral slip
Article 20 Cross-provincial medical network report referral form is valid for 3 months. If the extension is not processed in time beyond the validity period, the expenses overdue shall not be included in the scope of the direct closing of the new agricultural joint.
Article 21 For referral patients who have been treated multiple times for the same disease, an application may be made to the co-ordination area, and the referral procedure may be completed by the operator through the information system to reactivate the previous referral certificate.
(1) Apply for activation from the co-ordinating regional operator by telephone, fax, network, etc., and
(2) the co-ordinating regional operators apply for activation operations through the new agricultural joint information system at the same level or by logging into the national new agricultural joint information platform.6. Strictly standardized management
Article 22 Each designated medical institution shall grasp the conditions, procedures and requirements of referral, standardize the management of referral, pay attention to the transfer rate, and establish a referral contact system at the provincial and municipal levels, which undertakes the functions of cross-provincial referral, so as to keep the information flowing smoothly.
Article 23 Of this article, patients who meet the conditions for referral shall go through the referral procedures in a timely manner, and those who do not meet the conditions shall do a good job in promoting and explaining policies to the participants. Inter-provincial referral regulations and procedures should be made public in the prominent positions and key windows of medical institutions and agencies, fulfill the obligation to inform, and let the masses know and understand.
Article 24 The agency shall confirm the identity of the participating patients, publicize the relevant policies of the new agricultural cooperation, introduce relevant precautions, and publish the list of designated medical institutions that have carried out cross-provincial medical reports.7, By-laws
Article 25 The provincial-level new agricultural settlement center may, in accordance with the provisions of these norms, formulate specific implementation rules, which shall be implemented after the approval of the provincial health and family planning administrative departments.
26 This Code shall be interpreted by the Grass-roots Department of the National Health and Family Planning Commission.
27 this Code applies to the medical insurance system for urban and rural residents managed by the Health and Family Planning Department.
28 this Code shall come into effect as of the date of publication. (National Health and Family Planning Commission of the People's Republic of China)