Starting from March 1st, there is no need to repeat the examination when changing hospitals! Which specific diseases require repeated examinations? Attached is the original policy!

In order to reduce the problem of repeated examinations when people see a doctor, the Medical Administration and Management Bureau recently issued the "Notice on Issuing the Management Measures for the Mutual Recognition of Examination and Test Results of Medical Institutions", stating that from March 1st, there will be no need for repeated examinations when changing hospitals for medical treatment. So what are the specific regulations for not having to repeat examinations when changing hospitals for medical treatment from March 1st? Which specific diseases require repeated examinations? Attached is the original policy!

1. What are the specific regulations regarding the absence of need for repeated examinations when changing hospitals starting from March 1st?

1. Starting from March 1, you do not need to repeat the examination when changing hospitals. Regulation 1: The mutual recognition mark is unified as HR

Starting from March 1, the mutual recognition mark for medical institutions' inspection and testing results will be unified as HR. If the inspection and testing items participate in the quality evaluation conducted by quality control organizations at all levels and pass, the medical institutions should mark their corresponding mutual recognition scope + mutual recognition mark. Such as: National HR; Beijing-Tianjin-Hebei HR; <Beijing Xicheng District HR; etc. Inspection and test items that have not participated in the quality evaluation as required or have failed the quality evaluation shall not be marked.

2. Starting from March 1, there is no need to repeat the examination when changing hospitals. Regulation 2: The examination and test results do not include the diagnosis conclusion issued by the physician

Starting from March 1, the policy requires that inspection results refer to images or data information obtained by examining the human body through ultrasound, X-ray, magnetic resonance imaging, electrophysiology, nuclear medicine and other means; test results refer to data information obtained by conducting biological, microbiological, immunological, chemical, hematoimmunology, hematology, biophysics, cytology and other tests on materials from the human body. The examination and test results do not include the diagnosis conclusion issued by the physician.

2. Which specific diseases require repeated examinations starting from March 1, 2022?

1. Due to changes in the patient's condition, the test results are inconsistent with the patient's clinical manifestations and disease diagnosis, making it difficult to meet the clinical diagnosis and treatment needs;

2. The test results change rapidly during the development and evolution of the disease;

3. Inspection and testing items that are of great significance to the diagnosis and treatment of diseases (such as before major medical measures such as surgery and blood transfusion);

4. The patient is in an emergency or first aid situation;

5. Appraisals involving judicial, disability, and medical retirement;

6. Other circumstances where review is indeed necessary.

Policy original text:

Measures for the Administration of Mutual Recognition of Inspection and Test Results by Medical Institutions

Chapter I General Provisions

Article 1 These Measures are formulated in accordance with the Basic Medical and Health Care and Health Promotion Law of the People's Republic of China, the Physician Law of the People's Republic of China, the Regulations on the Administration of Medical Institutions, the Regulations on the Supervision and Administration of the Use of Medical Insurance Funds, the Measures for the Administration of Medical Quality, the Measures for the Administration of Clinical Laboratories of Medical Institutions, and other relevant laws and regulations in order to further improve the utilization rate of medical resources, reduce the burden of medical treatment on the people, and ensure the quality and safety of medical care.

Article 2 The examination results referred to in these Measures refer to the images or data information obtained by examining the human body through ultrasound, X-ray, magnetic resonance imaging, electrophysiology, nuclear medicine and other means; the test results refer to the data information obtained by conducting biological, microbiological, immunological, chemical, hematoimmunology, hematology, biophysics, cytology and other tests on materials from the human body. The examination and test results do not include the diagnosis conclusion issued by the physician.

Article 3 These Measures apply to medical institutions of all levels and types.

Article 4 Medical institutions shall carry out mutual recognition of inspection and test results in accordance with the principle of "ensuring quality and safety as the bottom line, qualified quality control as the prerequisite, reducing the burden on patients as the orientation, satisfying diagnosis and treatment needs as the basis, and the judgment of the attending physician as the standard."

Chapter II Organization and Management

Article 5 The National Health Commission is responsible for the management of the mutual recognition of inspection and testing results of medical institutions across the country. The National Healthcare Security Administration will promote support for the mutual recognition of inspection and test results among medical institutions across the country within the scope of its duties. Local health administrative departments are responsible for the management of mutual recognition of inspection and testing results of medical institutions within their administrative regions. Local medical insurance authorities shall, within the scope of their duties, promote support for mutual recognition of inspection and testing results among medical institutions within their administrative regions. The State Administration of Traditional Chinese Medicine and the military health authorities are responsible for the management of the mutual recognition of inspection and testing results of traditional Chinese medicine and military medical institutions within the scope of their respective duties.

Article 6 Local health administrative departments shall strengthen the organizational management of medical institutions within their jurisdiction, guide medical institutions and their medical personnel to standardize the mutual recognition of inspection and test results, strengthen regional platform construction in accordance with the functional guidance requirements for the construction of the national health information platform, and promote the mutual communication and sharing of inspection and test results of medical institutions in their jurisdiction.

Article 7 The medical quality control organizations at all levels and in all professions (hereinafter referred to as quality control organizations) established or designated by local health administrative departments in accordance with the "Medical Quality Management Measures" shall, under the guidance of the health administrative departments at the same level, formulate and improve the quality evaluation indicators and quality management requirements for inspection and testing items at this level. Quality control organizations at all levels should strengthen the quality management of inspection and testing projects in their regions and professions, conduct regular and standardized quality evaluation work, and promote local medical institutions to improve the quality of inspections and tests.

Article 8 Medical institutions shall strengthen the construction of hospital information platforms with electronic medical records as the core in accordance with hospital information construction standards and specifications. Establish and improve the mutual recognition management system within the institution, strengthen personnel training, standardize work processes, and provide necessary equipment, facilities and guarantee measures for relevant medical personnel to carry out mutual recognition work.

Article 9 The leading hospital of a medical alliance shall promote the interconnection and interoperability of data and information within the medical alliance, strengthen the quality control of inspections and tests, improve the homogeneity of inspections and tests, and realize the mutual recognition and sharing of inspection and test results.

Article 10 Medical personnel shall abide by industry norms, adhere to medical ethics, provide reasonable diagnosis and treatment, strive to improve their professional level and service quality, and recognize all qualified inspection and test results.

Chapter III Mutual Recognition Rules

Article 11 The inspection and testing items to be subject to mutual recognition should have good stability and unified technical standards to facilitate quality evaluation.

Article 12: For products that meet national quality evaluation indicators and participate in national quality evaluation and qualified inspection and testing projects, the scope of mutual recognition shall be nationwide. For inspection and testing projects that meet local quality evaluation indicators and pass the quality evaluation of local quality control organizations, the scope of mutual recognition is the region corresponding to the quality control organization. If different regions jointly carry out mutual recognition of inspections and tests through signing agreements, the health administrative departments of the relevant regions shall jointly establish or designate quality control organizations to carry out relevant work. For those who participate in the relevant quality evaluation and pass it, the scope of mutual recognition will be the agreed area.

Article 13 The mutual recognition mark for inspection and testing results of medical institutions is unified as HR. If the inspection and testing items participate in the quality evaluation conducted by quality control organizations at all levels and pass, the medical institution shall mark their corresponding mutual recognition scope + mutual recognition logo. Such as: National HR; Beijing-Tianjin-Hebei HR; Beijing Xicheng District HR; etc. Inspection and test items that have not participated in the quality evaluation as required or have failed the quality evaluation shall not be marked.

Article 14 Provincial health administrative departments shall guide medical institutions under their jurisdiction to unify the format of report forms for inspection and test results, and shall indicate the detection methods and reference ranges used for the inspection results. Medical institutions are encouraged to issue mutually recognized inspection and test results within the same region on one report form, and uniformly mark the corresponding mutual recognition area scope and mutual recognition logo on the report form.

Article 15 Local health administrative departments shall guide quality control organizations at the same level to regularly sort out the list of mutual recognition projects of medical institutions in their jurisdiction, and strengthen publicity and disclosure in accordance with relevant regulations to facilitate inquiries and understanding by medical institutions and the general public.

Article 16 Medical institutions and their medical personnel shall, without affecting the diagnosis and treatment of diseases, recognize each other for inspection and testing results marked with national or regional mutual recognition marks of the institution. Medical personnel are encouraged to combine clinical practice and provide mutual recognition of other examination and test results without affecting the diagnosis and treatment of the disease.

Article 17 Medical institutions and their medical personnel shall not conduct repeated examinations and tests on existing examination and test results provided by patients if they meet the conditions for mutual recognition and satisfy the needs of diagnosis and treatment.

Article 18 Medical personnel shall issue medical orders for examinations and tests based on the patient's condition. For inspection and testing items that meet the mutual recognition conditions, relevant fees shall not be charged again in the form of packaging with other items.

Article 19 In the following circumstances, medical institutions and their medical staff may re-examine the relevant items:
(1) Due to changes in the patient's condition, the test results are inconsistent with the patient's clinical manifestations and disease diagnosis, making it difficult to meet the clinical diagnosis and treatment needs;
(2) The examination and test results change rapidly during the development and evolution of the disease;
(3) The inspection and testing items are of great significance to the diagnosis and treatment of diseases (such as before major medical measures such as surgery and blood transfusion);
(IV) The patient is in an emergency or first aid situation;
(5) Appraisals involving judicial, disability, and medical retirement;
(6) Other circumstances where a review is indeed necessary.

Article 20 Medical institutions with the necessary conditions may open clinics for examination and testing, which shall be staffed by practicing physicians specializing in medical imaging and radiotherapy or medical testing and pathology, and independently provide disease diagnosis and reporting services.

Article 21 Medical institutions and their medical personnel shall strengthen doctor-patient communication. If the inspection and testing items are not mutually recognized, they shall provide good explanations and fully inform the purpose and necessity of re-examination.

Chapter 4 Quality Control

Article 22 The instruments, equipment, reagents and consumables used by medical institutions to carry out inspections and tests shall comply with relevant requirements, and the instruments and equipment shall be verified, tested, calibrated, stability measured and maintained in accordance with regulations.
Article 23 Medical institutions shall strengthen the quality management of inspection and testing departments, establish and improve the quality management system, and use the quality management situation as an important indicator for the comprehensive goal assessment of department heads.
Article 24 Medical institutions shall conduct indoor quality control in a standardized manner and report the indoor quality control situation of the institution and other relevant quality and safety information to the health administrative department or quality control organization in a timely and accurate manner in accordance with relevant requirements.
Article 25 Medical institutions shall participate in quality evaluations conducted by quality control organizations in accordance with relevant regulations. Inspection and testing items marked with the mutual recognition mark must participate in the corresponding quality evaluation frequency not less than once every six months.
Article 26 Local health administrative departments and their entrusted quality control organizations shall conduct regular spot checks on the inspection and testing quality of medical institutions under their jurisdiction in accordance with relevant regulations. The spot check work should be organized and carried out in the manner of "double random and one public".

Chapter 5 Support and Guarantee Article 27 Local health administrative departments shall strengthen the inspection and testing capabilities in their jurisdictions, and regularly organize personnel training, on-site inspections, result monitoring and other work.
Article 28 (1) If the examination and test results can meet the diagnosis and treatment needs, the medical institution shall charge the corresponding examination fee according to the outpatient (emergency) examination fee and no additional fees shall be charged.
(II) If the inspection and test results meet the requirements for mutual recognition, but the mutual recognition of the inspection and test results requires the participation of the corresponding inspection and test departments, an additional consultation fee may be charged on the basis of the inspection and test fee in accordance with the price policy implemented by this hospital.
(3) If the examination and test results meet the conditions for mutual recognition, but fall under the circumstances specified in Article 19 of these Measures and cannot serve as auxiliary diagnosis, and re-examination is indeed necessary, the actual medical service fees incurred will be charged.
Article 29: Medical insurance departments at all levels shall actively promote payment method reform, guide medical institutions to proactively control costs, strengthen vertical analysis and horizontal comparison of medical service behaviors, and strengthen the performance evaluation and assessment mechanism for the use of medical insurance funds. At the same time, the total budget of the medical insurance fund should be reasonably determined, and the total regional budget and the total budget of individual medical institutions should not be reduced due to the mutual recognition of inspection and test results.
Article 30 Medical institutions with the conditions may incorporate the mutual recognition of inspection and test results conducted by medical personnel into the performance distribution and assessment mechanism of the institution.
Article 31 encourages medical insurance agencies at all levels to use the mutual recognition of inspection and test results conducted by medical institutions as an assessment standard for designated medical insurance institutions.

Chapter VI Supervision and Management
Article 32 Local health administrative departments have the right to supervise and inspect the mutual recognition work of medical institutions within their jurisdiction through review and record-keeping, and medical institutions shall not refuse, obstruct or conceal relevant circumstances.
Article 33 Local health administrative departments shall conduct work assessments regularly and hold medical institutions and their medical personnel who violate relevant regulations accountable in accordance with the law.
Article 34 Local health administrative departments shall make full use of information technology to conduct real-time monitoring of the mutual recognition of inspection and test results and information sharing among medical institutions, and put forward improvement requirements for medical institutions with prominent problems.
Article 35 If any dispute arises from the mutual recognition of inspection and testing results, each responsible party shall bear corresponding liability in accordance with the law and regulations.
Article 36: If the inspection and testing results are forged, altered, concealed or tampered with, causing adverse consequences, the violating party shall bear corresponding liability in accordance with the law.

Chapter VII Supplementary Provisions
Article 37 These Measures shall be interpreted by the National Health Commission in conjunction with the National Healthcare Security Administration.
Article 38 Provincial-level health administrative departments shall formulate specific implementation plans based on these Measures and in light of local actual conditions. Regions with conditions are encouraged to jointly formulate implementation plans and promote cross-provincial mutual recognition of inspection and testing results.
Article 39 This Measures shall come into force on March 1, 2022.