---
title: "Приказ Минздрава СССР от 11.01.1984 N 37"
number: "37"
issuer: "Министерство здравоохранения СССР"
issued_on: 1984-01-11
status: действует
canonical: "https://bukva.ai/docs/prikaz-37-1984"
---

## Приказ Минздрава СССР от 11.01.1984 N 37

# Приказ Минздрава СССР от 11.01.1984 N 37

"Об утверждении медицинской документации"


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<a id="p100001"></a>**МИНИСТЕРСТВО ЗДРАВООХРАНЕНИЯ СССР**

</div>



## <a id="p100002"></a>ПРИКАЗ

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**от 11 января 1984 г. N 37**

<a id="p100003"></a>**ОБ УТВЕРЖДЕНИИ МЕДИЦИНСКОЙ ДОКУМЕНТАЦИИ**

</div>


<a id="p100004"></a>Для организации в лечебно-профилактических учреждениях учета населения, подлежащего диспансеризации, и регистрации врачебных осмотров и лабораторно-инструментальных исследований при проведении ежегодной диспансеризации утверждаю:
1. <a id="p100005"></a>"[Карту](#p100025) учета диспансеризации" ф. N 131/у (приложение 1).
2. <a id="p100006"></a>[Дополнение](#p100261) к "[Перечню](https://bukva.ai/docs/perechen-1030) форм первичной медицинской документации учреждений здравоохранения" (утвержден приказом Минздрава СССР от 04.10.79 г. N 1030) (приложение 2).

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<a id="p100007"></a>Министр<br>
С.П.БУРЕНКОВ

</div>






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<a id="p100008"></a>Приложение 1<br>
к приказу Министерства<br>
здравоохранения СССР

</div>

от 11 января 1984 г. N 37


<table>
<colgroup><col width="3%"><col width="10%"><col width="10%"><col width="6%"><col width="4%"><col width="2%"><col width="8%"><col width="10%"><col width="10%"><col width="10%"><col width="10%"><col width="10%"><col width="3%"></colgroup>
<tr><td></td><td><a id="p100009"></a>1</td><td><a id="p100010"></a>2</td><td colspan="2"><a id="p100011"></a>3</td><td colspan="2"><a id="p100012"></a>4</td><td><a id="p100013"></a>5</td><td><a id="p100014"></a>6</td><td><a id="p100015"></a>7</td><td><a id="p100016"></a>8</td><td><a id="p100017"></a>9</td><td></td></tr>
<tr><td colspan="13"></td></tr>
<tr><td colspan="9" rowspan="2"></td><td colspan="4"><a id="p100018"></a>Код формы по ОКУД |_5_|_1_<br>Код учреждения по ОКПО</td></tr>
<tr><td colspan="4"></td></tr>
<tr><td rowspan="2"><a id="p100019"></a>1</td><td colspan="6"><a id="p100020"></a>Министерство здравоохранения СССР</td><td colspan="2" rowspan="2"></td><td colspan="3" rowspan="2"><a id="p100021"></a>Медицинская документация<br>Форма N 131/у<br>Утверждено Минздравом СССР от 11.01.84 г. N 37</td><td rowspan="2"><a id="p100022"></a>1</td></tr>
<tr><td colspan="6"><a id="p100023"></a>Наименование учреждения</td></tr>
<tr><td rowspan="2"><a id="p100024"></a>2</td><td colspan="11"><a id="p100025"></a>КАРТА УЧЕТА ДИСПАНСЕРИЗАЦИИ N |_|_|_|_|_|_|<br>(МЕДИЦИНСКАЯ КАРТА АМБУЛАТОРНОГО БОЛЬНОГО N |_|_|_|_|_|</td><td rowspan="2"><a id="p100026"></a>2</td></tr>
<tr><td colspan="11"><a id="p100027"></a>1. Фамилия, имя, отчество _____________________________________________ 2. Пол ___________________</td></tr>
<tr><td rowspan="3"><a id="p100028"></a>3</td><td colspan="11"><a id="p100029"></a>3. Дата рождения __________________ телефон служ. ___________ 4. Адрес: район ______________________<br>число, м-ц, год</td><td rowspan="3"><a id="p100030"></a>3</td></tr>
<tr><td colspan="11"><a id="p100031"></a>город (село) _____________________ ул. __________________ дом N ___ корп. N ________ кв. N __________</td></tr>
<tr><td colspan="11"><a id="p100032"></a>5. Место работы (учебы) __________________________ 6. Профессия, должность ________________________</td></tr>
<tr><td rowspan="3"><a id="p100033"></a>4</td><td colspan="11"><a id="p100034"></a>7. Прикреплен для диспансеризации:</td><td rowspan="3"><a id="p100035"></a>4</td></tr>
<tr><td colspan="11"><a id="p100036"></a>7.1. В данном учреждении: участок N ______________________________________________<br>(название)</td></tr>
<tr><td colspan="11"><a id="p100037"></a>7.2. В другом учреждении Минздрава СССР, другого ведомства ________________________<br>(название)</td></tr>
<tr><td></td><td colspan="3"><a id="p100038"></a>Год проведения диспансеризации</td><td colspan="2"><a id="p100039"></a>1</td><td><a id="p100040"></a>._._._._.</td><td><a id="p100041"></a>._._._._.</td><td><a id="p100042"></a>._._._._.</td><td><a id="p100043"></a>._._._._.</td><td><a id="p100044"></a>._._._._.</td><td><a id="p100045"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100046"></a>Прикреплен для диспансеризации</td><td colspan="2"><a id="p100047"></a>2</td><td><a id="p100048"></a>._.</td><td><a id="p100049"></a>._.</td><td><a id="p100050"></a>._.</td><td><a id="p100051"></a>._.</td><td><a id="p100052"></a>._.</td><td><a id="p100053"></a>._.</td><td></td></tr>
<tr><td></td><td colspan="11"><a id="p100054"></a>Врачебный осмотр проведен (число, месяц):</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100055"></a>Терапевтом</td><td colspan="2"><a id="p100056"></a>3</td><td><a id="p100057"></a>._._._._.</td><td><a id="p100058"></a>._._._._.</td><td><a id="p100059"></a>._._._._.</td><td><a id="p100060"></a>._._._._.</td><td><a id="p100061"></a>._._._._.</td><td><a id="p100062"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100063"></a>Педиатром</td><td colspan="2"><a id="p100064"></a>4</td><td><a id="p100065"></a>._._._._.</td><td><a id="p100066"></a>._._._._.</td><td><a id="p100067"></a>._._._._.</td><td><a id="p100068"></a>._._._._.</td><td><a id="p100069"></a>._._._._.</td><td><a id="p100070"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100071"></a>Хирургом</td><td colspan="2"><a id="p100072"></a>5</td><td><a id="p100073"></a>._._._._.</td><td><a id="p100074"></a>._._._._.</td><td><a id="p100075"></a>._._._._.</td><td><a id="p100076"></a>._._._._.</td><td><a id="p100077"></a>._._._._.</td><td><a id="p100078"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100079"></a>Акушером-гинекологом</td><td colspan="2"><a id="p100080"></a>6</td><td><a id="p100081"></a>._._._._.</td><td><a id="p100082"></a>._._._._.</td><td><a id="p100083"></a>._._._._.</td><td><a id="p100084"></a>._._._._.</td><td><a id="p100085"></a>._._._._.</td><td><a id="p100086"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100087"></a>Стоматологом (зубным врачом)</td><td colspan="2"><a id="p100088"></a>7</td><td><a id="p100089"></a>._._._._.</td><td><a id="p100090"></a>._._._._.</td><td><a id="p100091"></a>._._._._.</td><td><a id="p100092"></a>._._._._.</td><td><a id="p100093"></a>._._._._.</td><td><a id="p100094"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100095"></a>Отоларингологом</td><td colspan="2"><a id="p100096"></a>8</td><td><a id="p100097"></a>._._._._.</td><td><a id="p100098"></a>._._._._.</td><td><a id="p100099"></a>._._._._.</td><td><a id="p100100"></a>._._._._.</td><td><a id="p100101"></a>._._._._.</td><td><a id="p100102"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100103"></a>Офтальмологом</td><td colspan="2"><a id="p100104"></a>9</td><td><a id="p100105"></a>._._._._.</td><td><a id="p100106"></a>._._._._.</td><td><a id="p100107"></a>._._._._.</td><td><a id="p100108"></a>._._._._.</td><td><a id="p100109"></a>._._._._.</td><td><a id="p100110"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100111"></a>Невропатологом</td><td colspan="2"><a id="p100112"></a>10</td><td><a id="p100113"></a>._._._._.</td><td><a id="p100114"></a>._._._._.</td><td><a id="p100115"></a>._._._._.</td><td><a id="p100116"></a>._._._._.</td><td><a id="p100117"></a>._._._._.</td><td><a id="p100118"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100119"></a>Осмотр акушеркой смотрового кабинета</td><td colspan="2"><a id="p100120"></a>11</td><td><a id="p100121"></a>._._._._.</td><td><a id="p100122"></a>._._._._.</td><td><a id="p100123"></a>._._._._.</td><td><a id="p100124"></a>._._._._.</td><td><a id="p100125"></a>._._._._.</td><td><a id="p100126"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="11"><a id="p100127"></a>Лабораторно-инструментальные исследования (число, месяц):</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100128"></a>Год проведения диспансеризации</td><td colspan="2"></td><td><a id="p100129"></a>._._._._.</td><td><a id="p100130"></a>._._._._.</td><td><a id="p100131"></a>._._._._.</td><td><a id="p100132"></a>._._._._.</td><td><a id="p100133"></a>._._._._.</td><td><a id="p100134"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100135"></a>Анализ крови</td><td colspan="2"><a id="p100136"></a>12</td><td><a id="p100137"></a>._._._._.</td><td><a id="p100138"></a>._._._._.</td><td><a id="p100139"></a>._._._._.</td><td><a id="p100140"></a>._._._._.</td><td><a id="p100141"></a>._._._._.</td><td><a id="p100142"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100143"></a>Исследование мочи:</td><td colspan="2"></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100144"></a>общее</td><td colspan="2"><a id="p100145"></a>13</td><td><a id="p100146"></a>._._._._.</td><td><a id="p100147"></a>._._._._.</td><td><a id="p100148"></a>._._._._.</td><td><a id="p100149"></a>._._._._.</td><td><a id="p100150"></a>._._._._.</td><td><a id="p100151"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100152"></a>на глюкозу</td><td colspan="2"><a id="p100153"></a>14</td><td><a id="p100154"></a>._._._._.</td><td><a id="p100155"></a>._._._._.</td><td><a id="p100156"></a>._._._._.</td><td><a id="p100157"></a>._._._._.</td><td><a id="p100158"></a>._._._._.</td><td><a id="p100159"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100160"></a>на белок</td><td colspan="2"><a id="p100161"></a>15</td><td><a id="p100162"></a>._._._._.</td><td><a id="p100163"></a>._._._._.</td><td><a id="p100164"></a>._._._._.</td><td><a id="p100165"></a>._._._._.</td><td><a id="p100166"></a>._._._._.</td><td><a id="p100167"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100168"></a>Анализ кала на яйца гельминтов</td><td colspan="2"><a id="p100169"></a>16</td><td><a id="p100170"></a>._._._._.</td><td><a id="p100171"></a>._._._._.</td><td><a id="p100172"></a>._._._._.</td><td><a id="p100173"></a>._._._._.</td><td><a id="p100174"></a>._._._._.</td><td><a id="p100175"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100176"></a>Цитологическое исследование мазков</td><td colspan="2"><a id="p100177"></a>17</td><td><a id="p100178"></a>._._._._.</td><td><a id="p100179"></a>._._._._.</td><td><a id="p100180"></a>._._._._.</td><td><a id="p100181"></a>._._._._.</td><td><a id="p100182"></a>._._._._.</td><td><a id="p100183"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100184"></a>Флюорография</td><td colspan="2"><a id="p100185"></a>18</td><td><a id="p100186"></a>._._._._.</td><td><a id="p100187"></a>._._._._.</td><td><a id="p100188"></a>._._._._.</td><td><a id="p100189"></a>._._._._.</td><td><a id="p100190"></a>._._._._.</td><td><a id="p100191"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100192"></a>Тонометрия глаз</td><td colspan="2"><a id="p100193"></a>19</td><td><a id="p100194"></a>._._._._.</td><td><a id="p100195"></a>._._._._.</td><td><a id="p100196"></a>._._._._.</td><td><a id="p100197"></a>._._._._.</td><td><a id="p100198"></a>._._._._.</td><td><a id="p100199"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100200"></a>Острота зрения</td><td colspan="2"><a id="p100201"></a>20</td><td><a id="p100202"></a>._._._._.</td><td><a id="p100203"></a>._._._._.</td><td><a id="p100204"></a>._._._._.</td><td><a id="p100205"></a>._._._._.</td><td><a id="p100206"></a>._._._._.</td><td><a id="p100207"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100208"></a>Острота слуха</td><td colspan="2"><a id="p100209"></a>21</td><td><a id="p100210"></a>._._._._.</td><td><a id="p100211"></a>._._._._.</td><td><a id="p100212"></a>._._._._.</td><td><a id="p100213"></a>._._._._.</td><td><a id="p100214"></a>._._._._.</td><td><a id="p100215"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100216"></a>ЭКГ</td><td colspan="2"><a id="p100217"></a>22</td><td><a id="p100218"></a>._._._._.</td><td><a id="p100219"></a>._._._._.</td><td><a id="p100220"></a>._._._._.</td><td><a id="p100221"></a>._._._._.</td><td><a id="p100222"></a>._._._._.</td><td><a id="p100223"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100224"></a>Маммография</td><td colspan="2"><a id="p100225"></a>23</td><td><a id="p100226"></a>._._._._.</td><td><a id="p100227"></a>._._._._.</td><td><a id="p100228"></a>._._._._.</td><td><a id="p100229"></a>._._._._.</td><td><a id="p100230"></a>._._._._.</td><td><a id="p100231"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100232"></a>Туберкулиновые пробы</td><td colspan="2"><a id="p100233"></a>24</td><td><a id="p100234"></a>._._._._.</td><td><a id="p100235"></a>._._._._.</td><td><a id="p100236"></a>._._._._.</td><td><a id="p100237"></a>._._._._.</td><td><a id="p100238"></a>._._._._.</td><td><a id="p100239"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100240"></a>Дата завершения первичного диспансерного обследования</td><td colspan="2"><a id="p100241"></a>25</td><td><a id="p100242"></a>._._._._.</td><td><a id="p100243"></a>._._._._.</td><td><a id="p100244"></a>._._._._.</td><td><a id="p100245"></a>._._._._.</td><td><a id="p100246"></a>._._._._.</td><td><a id="p100247"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="3"><a id="p100248"></a>Направлен(а) на дообследование</td><td colspan="2"><a id="p100249"></a>26</td><td><a id="p100250"></a>._._._._.</td><td><a id="p100251"></a>._._._._.</td><td><a id="p100252"></a>._._._._.</td><td><a id="p100253"></a>._._._._.</td><td><a id="p100254"></a>._._._._.</td><td><a id="p100255"></a>._._._._.</td><td></td></tr>
<tr><td></td><td colspan="11"><a id="p100256"></a>Впервые выявленные при диспансеризации заболевания:</td><td></td></tr>
<tr><td></td><td colspan="7"><a id="p100257"></a>198_ г. _____________________________________<br>198_ г. _____________________________________<br>198_ г. _____________________________________</td><td colspan="4"><a id="p100258"></a>198_ г. _______________________________<br>198_ г. _______________________________<br>198_ г. _______________________________</td><td></td></tr>
<tr><td></td><td colspan="11"><a id="p100259"></a>ЗАПИСИ В КАРТЕ МОГУТ БЫТЬ ИСПОЛЬЗОВАНЫ ТОЛЬКО НЕПОСРЕДСТВЕННО В ЛЕЧЕБНО-ПРОФИЛАКТИЧЕСКОМ УЧРЕЖДЕНИИ ПРИ ПЛАНИРОВАНИИ И ОРГАНИЗАЦИИ ДИСПАНСЕРИЗАЦИИ И СОСТАВЛЕНИИ ОТЧЕТОВ УСТАНОВЛЕННОЙ ФОРМЫ</td><td></td></tr>
</table>






<div align="right">

<a id="p100260"></a>Приложение 2<br>
к приказу Министерства<br>
здравоохранения СССР<br>
от 11 января 1984 г. N 37

</div>


<div align="center">

<a id="p100261"></a>**ДОПОЛНЕНИЕ К "ПЕРЕЧНЮ ФОРМ ПЕРВИЧНОЙ**<br>
**МЕДИЦИНСКОЙ ДОКУМЕНТАЦИИ УЧРЕЖДЕНИЙ ЗДРАВООХРАНЕНИЯ"**<br>
**(УТВЕРЖДЕН ПРИКАЗОМ МИНИСТЕРСТВА ЗДРАВООХРАНЕНИЯ СССР**<br>
**ОТ 04.10.79 Г. N 1030)**

</div>


<a id="p100262"></a>Включить в [перечень](https://bukva.ai/docs/perechen-1030)


| <a id="p100263"></a>N п/п |  | <a id="p100264"></a>N формы | <a id="p100265"></a>формат | <a id="p100266"></a>Вид документа | <a id="p100267"></a>Срок хранения |
| --- | --- | --- | --- | --- | --- |
| <a id="p100268"></a>1. | <a id="p100269"></a>Карта учета диспансеризации | <a id="p100270"></a>131/у | <a id="p100271"></a>A5<br>(144 x 203) | <a id="p100272"></a>Бланк | <a id="p100273"></a>1 год после закрытия |


<div align="right">

<a id="p100274"></a>Начальник Управления<br>
медицинской статистики<br>
и вычислительной техники<br>
Г.Ф.ЦЕРКОВНЫЙ

</div>




<a id="p100275"></a>

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