{ "article": { "LEGIARTI000006248959": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "1", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006248959", "URL": "article/LEGI/ARTI/00/00/06/24/89/LEGIARTI000006248959.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SQHV2XXXXXX001AAXXXXXXAA" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000006916869", "@num": "R6123-69", "#text": "Code de la santé publique - art. R6123-69 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916871", "@num": "R6123-70", "#text": "Code de la santé publique - art. R6123-70 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916873", "@num": "R6123-71", "#text": "Code de la santé publique - art. R6123-71 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916875", "@num": "R6123-72", "#text": "Code de la santé publique - art. R6123-72 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916877", "@num": "R6123-73", "#text": "Code de la santé publique - art. R6123-73 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916880", "@num": "R6123-74", "#text": "Code de la santé publique - art. R6123-74 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFICATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000000453947", "@nor": "SANH0620003D", "@num": "2006-77", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2006-77 du 24 janvier 2006 relatif aux conditions d'implantation applicables aux activités de soins de chirurgie cardiaque et modifiant le code de la santé publique (dispositions réglementaires)", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000000453947", "@c_titre_court": "Décret n°2006-77 du 24 janvier 2006" }, { "@fin": "2999-01-01", "#text": "Décret n°2006-77 du 24 janvier 2006 relatif aux conditions d'implantation applicables aux activités de soins de chirurgie cardiaque et modifiant le code de la santé publique (dispositions réglementaires)", "@debut": "2006-01-27", "@id_txt": "LEGITEXT000006053190", "@c_titre_court": "Décret n°2006-77 du 24 janvier 2006" } ], "@ministere": "MINISTERE DE LA SANTE ET DES SOLIDARITES", "@date_publi": "2006-01-27", "@date_signature": "2006-01-24" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000006248959", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000001105333", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "a modifié les dispositions suivantes
\n
" } }, "LEGIARTI000006916869": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R6123-69", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2006-01-27" } }, "META_COMMUN": { "ID": "LEGIARTI000006916869", "URL": "article/LEGI/ARTI/00/00/06/91/68/LEGIARTI000006916869.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "YXXXXXXXXXX6123R0690XX0B" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000536514", "#text": "Décret 91-78 1991-01-16 art. 1", "@sens": "source", "@cidtexte": "JORFTEXT000000536514", "@nortexte": "SANH9100007D", "@numtexte": "91-78", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1991-01-16" }, { "@id": "LEGIARTI000006710025", "@num": "1", "#text": "Décret n°91-78 du 16 janvier 1991 - art. 1 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000536514", "@nortexte": "SANH9100007D", "@numtexte": "91-78", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1991-01-16" }, { "@id": "JORFTEXT000000814956", "#text": "Décret 2005-840 2005-07-20", "@sens": "source", "@cidtexte": "JORFTEXT000000814956", "@nortexte": "SANP0522707D", "@numtexte": "2005-840", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-07-20" }, { "@id": "LEGIARTI000006248959", "@num": "1", "#text": "Décret n°2006-77 du 24 janvier 2006 - art. 1 () JORF 27 janvier 2006", "@sens": "source", "@cidtexte": "JORFTEXT000000453947", "@nortexte": "SANH0620003D", "@numtexte": "2006-77", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2006-01-24" }, { "@id": "LEGIARTI000006916682", "@num": "R6122-25", "#text": "Code de la santé publique - art. R6122-25 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916870", "@num": "R6123-70", "#text": "Code de la santé publique - art. R6123-70 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916872", "@num": "R6123-71", "#text": "Code de la santé publique - art. R6123-71 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916876", "@num": "R6123-73", "#text": "Code de la santé publique - art. R6123-73 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006916879", "@num": "R6123-74", "#text": "Code de la santé publique - art. R6123-74 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006190813", "@fin": "2999-01-01", "#text": "Section 5 : Chirurgie cardiaque.", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178694", "@fin": "2999-01-01", "#text": "Chapitre III : Conditions d'implantation de certaines activités de soins et des équipements matériels lourds", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006161025", "@fin": "2999-01-01", "#text": "Titre II : Equipement sanitaire", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145493", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132400", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de santé", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006112927", "@fin": "2999-01-01", "#text": "Partie réglementaire", "@debut": "2000-12-23" } ] }, "@cid": "LEGITEXT000006072665", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la santé publique", "@debut": "1953-10-07", "@id_txt": "LEGITEXT000006072665", "@c_titre_court": "Code de la santé publique" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006916868", "@fin": "2006-01-27", "@num": "R6123-69", "@etat": "MODIFIE", "@debut": "2005-07-26", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000006916869", "@fin": "2999-01-01", "@num": "R6123-69", "@etat": "VIGUEUR", "@debut": "2006-01-27", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
L'activité de soins de chirurgie cardiaque mentionnée au 10° de l'article R. 6122-25 comprend toutes les interventions chirurgicales intrathoraciques portant sur l'appareil cardio-vasculaire : le coeur, le péricarde, les artères coronaires, les veines afférentes, les gros vaisseaux afférents et efférents, que ces interventions nécessitent ou non une circulation sanguine extracorporelle.
\n
" } }, "LEGIARTI000006916871": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R6123-70", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2023-06-01", "DATE_DEBUT": "2006-01-27" } }, "META_COMMUN": { "ID": "LEGIARTI000006916871", "URL": "article/LEGI/ARTI/00/00/06/91/68/LEGIARTI000006916871.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "YXXXXXXXXXX6123R0700XX0B" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000536514", "#text": "Décret 91-78 1991-01-16 art. 2", "@sens": "source", "@cidtexte": "JORFTEXT000000536514", "@nortexte": "SANH9100007D", "@numtexte": "91-78", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1991-01-16" }, { "@id": "LEGIARTI000006710026", "@num": "2", "#text": "Décret n°91-78 du 16 janvier 1991 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000536514", "@nortexte": "SANH9100007D", "@numtexte": "91-78", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1991-01-16" }, { "@id": "JORFTEXT000000814956", "#text": "Décret 2005-840 2005-07-20", "@sens": "source", "@cidtexte": "JORFTEXT000000814956", "@nortexte": "SANP0522707D", "@numtexte": "2005-840", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-07-20" }, { "@id": "LEGIARTI000006248959", "@num": "1", "#text": "Décret n°2006-77 du 24 janvier 2006 - art. 1 () JORF 27 janvier 2006", "@sens": "source", "@cidtexte": "JORFTEXT000000453947", "@nortexte": "SANH0620003D", "@numtexte": "2006-77", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2006-01-24" }, { "@id": "LEGIARTI000050063477", "@num": "1", "#text": "Arrêté du 29 juillet 2024 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000050060115", "@nortexte": "TSSS2421153A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2024-07-29" }, { "@id": "LEGIARTI000006917120", "@num": "D6124-121", "#text": "Code de la santé publique - art. D6124-121 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046884893", "@num": "D6124-123", "#text": "Code de la santé publique - art. D6124-123 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006690809", "@num": "L6122-1", "#text": "Code de la santé publique - art. L6122-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006190813", "@fin": "2999-01-01", "#text": "Section 5 : Chirurgie cardiaque.", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178694", "@fin": "2999-01-01", "#text": "Chapitre III : Conditions d'implantation de certaines activités de soins et des équipements matériels lourds", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006161025", "@fin": "2999-01-01", "#text": "Titre II : Equipement sanitaire", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145493", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132400", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de santé", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006112927", "@fin": "2999-01-01", "#text": "Partie réglementaire", "@debut": "2000-12-23" } ] }, "@cid": "LEGITEXT000006072665", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la santé publique", "@debut": "1953-10-07", "@id_txt": "LEGITEXT000006072665", "@c_titre_court": "Code de la santé publique" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006916870", "@fin": "2006-01-27", "@num": "R6123-70", "@etat": "MODIFIE", "@debut": "2005-07-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006916871", "@fin": "2023-06-01", "@num": "R6123-70", "@etat": "MODIFIE", "@debut": "2006-01-27", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000046888708", "@fin": "2999-01-01", "@num": "R6123-70", "@etat": "VIGUEUR", "@debut": "2023-06-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
L'autorisation prévue par l'article L. 6122-1 est accordée pour :
\n
1° L'activité de soins de chirurgie cardiaque pratiquée chez des patients adultes ;
\n
2° L'activité de soins de chirurgie cardiaque pédiatrique.
\n
L'autorisation précise le ou les sites sur lesquels l'activité est exercée. Les conditions fixées par la présente section sont applicables à chaque site.
" } }, "LEGIARTI000006916873": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R6123-71", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2023-06-01", "DATE_DEBUT": "2006-01-27" } }, "META_COMMUN": { "ID": "LEGIARTI000006916873", "URL": "article/LEGI/ARTI/00/00/06/91/68/LEGIARTI000006916873.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "YXXXXXXXXXX6123R0710XX0B" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000536514", "#text": "Décret 91-78 1991-01-16 art. 3", "@sens": "source", "@cidtexte": "JORFTEXT000000536514", "@nortexte": "SANH9100007D", "@numtexte": "91-78", "@typelien": "CONCORDANCE", "@naturetexte": "DECRET", "@datesignatexte": "1991-01-16" }, { "@id": "LEGIARTI000006710027", "@num": "3", "#text": "Décret n°91-78 du 16 janvier 1991 - art. 3 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000536514", "@nortexte": "SANH9100007D", "@numtexte": "91-78", "@typelien": "CONCORDE", "@naturetexte": "DECRET", "@datesignatexte": "1991-01-16" }, { "@id": "JORFTEXT000000814956", "#text": "Décret 2005-840 2005-07-20", "@sens": "source", "@cidtexte": "JORFTEXT000000814956", "@nortexte": "SANP0522707D", "@numtexte": "2005-840", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-07-20" }, { "@id": "LEGIARTI000006248959", "@num": "1", "#text": "Décret n°2006-77 du 24 janvier 2006 - art. 1 () JORF 27 janvier 2006", "@sens": "source", "@cidtexte": "JORFTEXT000000453947", "@nortexte": "SANH0620003D", "@numtexte": "2006-77", "@typelien": "MODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2006-01-24" }, { "@id": "LEGIARTI000006916824", "@num": "R6123-37", "#text": "Code de la santé publique - art. R6123-37 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006190813", "@fin": "2999-01-01", "#text": "Section 5 : Chirurgie cardiaque.", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178694", "@fin": "2999-01-01", "#text": "Chapitre III : Conditions d'implantation de certaines activités de soins et des équipements matériels lourds", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006161025", "@fin": "2999-01-01", "#text": "Titre II : Equipement sanitaire", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145493", "@fin": "2999-01-01", "#text": "Livre Ier : Etablissements de santé", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132400", "@fin": "2999-01-01", "#text": "Sixième partie : Etablissements et services de santé", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006112927", "@fin": "2999-01-01", "#text": "Partie réglementaire", "@debut": "2000-12-23" } ] }, "@cid": "LEGITEXT000006072665", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la santé publique", "@debut": "1953-10-07", "@id_txt": "LEGITEXT000006072665", "@c_titre_court": "Code de la santé publique" } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006916872", "@fin": "2006-01-27", "@num": "R6123-71", "@etat": "MODIFIE", "@debut": "2005-07-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006916873", "@fin": "2023-06-01", "@num": "R6123-71", "@etat": "MODIFIE", "@debut": "2006-01-27", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000046888702", "@fin": "2999-01-01", "@num": "R6123-71", "@etat": "VIGUEUR", "@debut": "2023-06-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
L'autorisation de pratiquer l'activité de soins de chirurgie cardiaque pour les patients adultes ne peut être délivrée à un établissement de santé ou à un groupement de coopération sanitaire qu'à condition de respecter, sur le même site, dans un bâtiment commun ou, à défaut, dans des bâtiments voisins, les prescriptions suivantes :
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1° Disposer d'une unité d'hospitalisation prenant en charge les patients de chirurgie cardiaque et de salles d'opération réservées à cette activité ;
\n
2° Disposer de :
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a) Une unité de réanimation autorisée ;
\n
b) Une unité de médecine pratiquant la cardiologie ;
\n
c) Une unité de soins intensifs mentionnée au 3° de l'article R. 6123-37, pratiquant les soins intensifs cardiologiques.
\n
3° Exercer les activités interventionnelles sous imagerie médicale, par voie endovasculaire, en cardiologie.
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L'autorisation de pratiquer une activité de soins de chirurgie cardiaque pédiatrique ne peut être délivrée à un établissement de santé ou à un groupement de coopération sanitaire qu'à condition de respecter, sur le même site, dans un bâtiment commun ou, à défaut, dans des bâtiments voisins, les prescriptions suivantes :
\n
1° Disposer d'une unité d'hospitalisation dédiée et de salles d'opération réservées à cette activité :
\n
2° Disposer de :
\n
a) Une unité de réanimation pédiatrique ;
\n
b) Une unité de médecine pratiquant la cardiologie ;
\n
c) Une unité de soins intensifs mentionnée au 3° de l'article R. 6123-37, pratiquant les soins intensifs cardiologiques.
\n
3° Exercer les activités interventionnelles sous imagerie médicale, par voie endovasculaire, en cardiologie.
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Le titulaire de l'autorisation de pratiquer une activité de soins de chirurgie cardiaque assure en permanence, en lien avec le service d'aide médicale urgente mentionné à l'article L. 6112-5 et les services d'accueil et de traitement des urgences mentionnés à l'article R. 6123-1, le diagnostic et le traitement des patients susceptibles de bénéficier de cette activité.
\n
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L'autorisation de pratiquer une activité de soins de chirurgie cardiaque ne peut être accordée ou renouvelée que si l'établissement de santé ou le groupement de coopération sanitaire justifie pour la chirurgie cardiaque, pour chaque site, d'une activité annuelle, prévisionnelle en cas de création, ou constatée en cas de renouvellement, au moins égale à un minimum fixé par arrêté du ministre chargé de la santé.
\n
L'activité annuelle mentionnée à l'alinéa précédent est établie, pour l'activité de chirurgie cardiaque pour adultes, par référence aux interventions pratiquées sous circulation sanguine extracorporelle ou par la technique à \"coeur battant\" réalisées sur ces patients. Pour l'activité de chirurgie cardiaque pédiatrique, l'activité annuelle est établie par référence à l'ensemble des interventions de chirurgie cardiaque pédiatrique.
\n
Une autorisation dérogeant aux dispositions du premier alinéa peut être accordée ou renouvelée à titre exceptionnel, après analyse des besoins de la population évalués dans le cadre du schéma d'organisation sanitaire, lorsque l'éloignement des autres établissements pratiquant l'activité de soins de chirurgie cardiaque impose des temps de trajet excessifs à une partie significative de la population du territoire de santé.
" } } }, "article_lien": [ { "article_id": "LEGIARTI000006916880", "cible": false, "cidtexte": "JORFTEXT000000453947", "id": "LEGIARTI000006248959", "typelien": "MODIFICATION" }, { "article_id": "LEGIARTI000006916869", "cible": false, "cidtexte": "JORFTEXT000000453947", "id": "LEGIARTI000006248959", "typelien": "MODIFICATION" }, { "article_id": "LEGIARTI000006916877", "cible": false, "cidtexte": "JORFTEXT000000453947", "id": "LEGIARTI000006248959", "typelien": "MODIFICATION" }, { "article_id": "LEGIARTI000006916873", "cible": false, "cidtexte": "JORFTEXT000000453947", "id": "LEGIARTI000006248959", "typelien": "MODIFICATION" }, { "article_id": "LEGIARTI000006916875", "cible": false, "cidtexte": "JORFTEXT000000453947", "id": "LEGIARTI000006248959", "typelien": "MODIFICATION" }, { "article_id": "LEGIARTI000006916871", "cible": false, "cidtexte": "JORFTEXT000000453947", "id": "LEGIARTI000006248959", "typelien": "MODIFICATION" } ], "follow": [ "LIENS.LIEN[@sens=cible,@typelien=CREATION].@id" ], "id": "LEGIARTI000006248959", "liens_entrants": true }

Article 1 ENTIEREMENT_MODIF (Décret n° 2006-77 du 24 janvier 2006 relatif aux conditions d'implantation applicables aux activités de soins de chirurgie cardiaque et modifiant le code de la santé publique (dispositions réglementaires))