6.2 - Dokumentation vid rehabiliterande vård (5000-tillstånd), regel E.0

{"headingNumber":"6.2","headingText":"Dokumentation vid rehabiliterande vård (5000-tillstånd), regel E.0","content":[{"name":"p","children":[{"name":"r","children":[{"name":"t","value":"Generella villkor för dokumentation vid ","preserveSpace":true},{"name":"kusplink","value":"5000","type":"conditiongroup"},{"name":"t","value":"-tillstånd har samlats under regel ","preserveSpace":true},{"name":"kusplink","value":"E.0","type":"rule"},{"name":"t","value":" ","preserveSpace":true}],"props":{"bold":false,"italic":false}},{"name":"r","children":[{"name":"t","value":"Dokumentation","preserveSpace":true}],"props":{"bold":false,"italic":true}},{"name":"r","children":[{"name":"t","value":". Av ","preserveSpace":true},{"name":"kusplink","value":"E.0","type":"rule"},{"name":"t","value":" framgår att tillståndet ska dokumenteras i patientjournalen innan behandlingen påbörjas. Dokumentation ska ske med foto om tillståndet inte redan framgår av befintlig aktuell röntgen. Dokumentation kan även ske med modell. Om rehabiliteringstillståndet uppkommer efter ersättningsberättigande tandextraktion som dokumenterats i journalen behövs ingen ytterligare dokumentation av tillståndet. För sjukdomsbehandlande åtgärder ","preserveSpace":true},{"name":"kusplink","value":"301","type":"action"},{"name":"t","value":"–","preserveSpace":true},{"name":"kusplink","value":"304","type":"action"},{"name":"t","value":", fyllningsåtgärder ","preserveSpace":true},{"name":"kusplink","value":"701","type":"action"},{"name":"t","value":"–","preserveSpace":true},{"name":"kusplink","value":"705","type":"action"},{"name":"t","value":" eller mindre reparationsåtgärder ","preserveSpace":true},{"name":"kusplink","value":"811","type":"action"},{"name":"t","value":", ","preserveSpace":true},{"name":"kusplink","value":"812","type":"action"},{"name":"t","value":" eller ","preserveSpace":true},{"name":"kusplink","value":"881","type":"action"},{"name":"t","value":" är skriftlig journaldokumentation av tillståndet tillräcklig. ","preserveSpace":true}],"props":{"bold":false,"italic":false}}],"props":{}},{"name":"p","children":[{"name":"r","children":[{"name":"t","value":"Utöver de generella dokumentationskraven enligt ","preserveSpace":true},{"name":"kusplink","value":"E.0","type":"rule"},{"name":"t","value":" kan det finnas specifika dokumentationskrav som framgår av villkoren för det aktuella tillståndet.","preserveSpace":true}],"props":{"bold":false,"italic":false}}],"props":{}},{"name":"p","children":[{"name":"r","children":[{"name":"t","value":"Kuspkusp:","preserveSpace":true},{"name":"kusplink","value":"E.0","type":"rule"},{"name":"t","value":",","preserveSpace":true},{"name":"kusplink","value":"5001","type":"condition"},{"name":"t","value":"-","preserveSpace":true},{"name":"kusplink","value":"5072","type":"condition"},{"name":"t","value":", ","preserveSpace":true},{"name":"kusplink","value":"5445","type":"condition"},{"name":"t","value":"-","preserveSpace":true},{"name":"kusplink","value":"5914","type":"condition"}],"props":{"bold":false,"italic":false}}],"props":{"style":"KuspKusp"}},{"name":"p","children":[{"name":"r","children":[{"name":"t","value":"Dokumentation i enlighet med","preserveSpace":true}],"props":{"bold":false,"italic":false}},{"name":"hyperlink","id":"rId123","target":"http://www.riksdagen.se/sv/Dokument-Lagar/Lagar/Svenskforfattningssamling/Patientdatalag-2008355_sfs-2008-355/?bet=2008:355","children":[{"name":"r","children":[{"name":"t","value":" ","preserveSpace":true}],"props":{"bold":false,"italic":false}},{"name":"r","children":[{"name":"t","value":"patientdatalagen (2008:355) ","preserveSpace":true}],"props":{"bold":false,"italic":true}}]},{"name":"r","children":[{"name":"t","value":"och ","preserveSpace":true}],"props":{"bold":false,"italic":false}},{"name":"hyperlink","id":"rId124","target":"https://www.socialstyrelsen.se/kunskapsstod-och-regler/regler-och-riktlinjer/foreskrifter-och-allmanna-rad/konsoliderade-foreskrifter/201640-om-journalforing-och-behandling-av-personuppgifter-i-halso--och-sjukvarden/","children":[{"name":"r","children":[{"name":"t","value":"Socialstyrelsens föreskrifter och allmänna råd (SOSFS 2016:40) om journalföring och behandling av personuppgifter i hälso- och sjukvården","preserveSpace":true}],"props":{"bold":false,"italic":true}},{"name":"r","children":[{"name":"t","value":" ","preserveSpace":true}],"props":{"bold":false,"italic":false}}]},{"name":"r","children":[{"name":"t","value":"ska alltid ske vid tandvårdsbehandling. Se vidare avsnitt Dokumentation i patientjournal.","preserveSpace":true}],"props":{"bold":false,"italic":false}}],"props":{}},{"name":"p","children":[{"name":"r","children":[{"name":"t","value":"Handbokens exempel belyser en specifik situation och är inte behandlingsförslag. Det kan finnas andra behandlingsalternativ för samma patientfall. Exemplen illustrerar hur ersättningsregler och åtgärder kan tillämpas vid en klinisk situation. 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