https:\/\/www.sanidad.gob.es\/profesionales\/CentrosDeReferencia\/home.htm<\/a><\/p>\n\n\n\n The project for the designation of Centers, Services and Reference Units (CSUR) of the National Health System (SNS) aims to goals<\/strong>: <\/p>\n\n\n\n In order to make effective the provisions of Law 16\/2003, of May 28, on cohesion and quality of the National Health System, the Royal Decree 1302\/2006, <\/a>of November 10, which establishes the bases of the procedure for the designation and accreditation of the reference centers, services and units of the National Health System.<\/strong><\/p>\n\n\n\n Royal Decree 1302\/2006 (English version)\u00a0<\/a><\/p>\n\n\n\n The request will be directed only to a CSUR<\/strong> and not to several centers at the same time. In the case of In order to minimize delays in patient care and guarantee the continuity of the The center that provides care must incorporate into SIFCO, when the patient is discharged, the https:\/\/www.sanidad.gob.es\/profesionales\/CentrosDeReferencia\/procedimientoERN.htm<\/a><\/p>\n\n\n\n On January 1, 2022, the Procedure for referring patients to a CSUR of the SNS for the presentation of their case in an ERN came into force, agreed by the Interterritorial Council of the SNS on July 30, 2021, with prior agreement from the Appointment Committee on December 16, 2020 and informed by the FCS Monitoring Commission on May 12, 2021.\u00a0<\/p>\n\n\n\n\n
User referral procedure. <\/h2>\n\n\n\n
that due to duly justified exceptional circumstances the application was not admitted
by the requested center, it will communicate it to the community that refers the patient and it
will restart the application process to a second center.
The request for assistance through SIFCO will include completing the data
corresponding to:
Patient data:
\uf0a7 Patient identification and residence data.
Identification data of the requesting health center:
\uf0a7 Data from the Health Center.
\uf0a7 Data of the Service or Clinical Unit that requests assistance.
\uf0a7 Identification data of the doctor responsible for the patient's care.
All this, in order to facilitate direct communication between the doctors responsible for the
patient of the requesting center and the CSUR.
Data from the CSUR from which assistance is requested:
\uf0a7 Identification data of the CSUR. Assistance can only be requested from those centers, services or
units that have been designated as reference by the CISNS.
Clinical report of the patient that must include:
\uf0a7 Brief summary of the patient's medical history related to the reason for referral,
recording the clinical reason why the patient's referral is requested.
\uf0a7 Diagnostic and therapeutic procedures performed (ICD10ES) related to the reason for the
derivation.
\uf0a7 Other data that is considered appropriate to review.
Requested assistance:
\uf0a7 Pathology or procedure for which assistance is requested from the CSUR, which must be among the
agreed by the CISNS and included in Annex III of Royal Decree 1207\/2006, of October 20,
which regulates the management of the Health Cohesion Fund.
\uf0a7 Main diagnosis (ICD10ES) for which the patient is referred.
\uf0a7 Indicate if the attention requested is a review.
\uf0a7 Indicate if the care requested corresponds to an outpatient procedure.<\/p>\n<\/div><\/details>\n\n\n\n
assistance, the CSUR must carry out the acceptance and appointment of the patient within the deadline
maximum of 15 days <\/strong>since you received the request for assistance.
To do this, the requested Center must complete the following through SIFCO
information:
Patient Citation:
Once the assistance proposal is received, the CSUR must accept it and issue a summons to the
patient. In the event that, for exceptional reasons, assistance is not accepted, reasons must be given.
expressly the reasons for the denial.
The summons will include the following information:
\uf0a7 Identification data of the health center.
\uf0a7 Service or clinical unit that will care for the patient.
\uf0a7 Place, date and time of the summons.
\uf0a7 Patient preparation:<\/strong> It is very important that the conditions of how
The patient must be prepared (fasting, etc.), as well as the tests that must be indicated.
before going to the CSUR and other clinical documents that you must provide.<\/p>\n<\/div><\/details>\n\n\n\n
data relating to the assistance provided and specifically, it will be indicated:
Patient data:
\uf0a7 Patient identification and residence data.
Data from the CSUR where the patient has been treated:
\uf0a7 Health center.
\uf0a7 Service and clinical unit.
\uf0a7 Identification data of the physician responsible for care.
Type of assistance provided:<\/strong>
\uf0a7 The pathology treated or the procedure performed from among those listed in Annex III of the
Decree 1207\/2006.
\uf0a7 The main diagnosis and secondary diagnoses (ICD10ES coded at the highest level of
disaggregation, indicating the corresponding marker POA1 or POA2).
\uf0a7 The primary and secondary diagnostic and therapeutic procedures <\/strong>(ICD10ES coded at the highest level of disaggregation) performed on the patient, indicating whether the procedure has been
carried out in the center or in another center.
\uf0a7 Indicate whether the care provided corresponds to a review and in what terms they should be carried out.<\/strong>
\uf0a7 Indicate if the care provided corresponds to a outpatient procedure.<\/strong>
Clinical report upon discharge:<\/strong> It will include a brief summary of the care provided to the patient, the
results of the diagnostic and therapeutic tests performed and the treatment and the recommendations that you must follow in your Autonomous Community of origin.<\/strong>
Likewise, it will collect in the Patient Registry, the corresponding information that is included in
the criteria sheets approved by the CISNS for each of the pathologies or procedures.<\/p>\n<\/div><\/details>\n<\/div>\n\n\n\nReferral to ERN.<\/h2>\n\n\n\n