{ "article": { "LEGIARTI000037219261": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "1", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000037219261", "URL": "article/LEGI/ARTI/00/00/37/21/92/LEGIARTI000037219261.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGISCTA000037219810", "#text": "Code de la santé publique - Chapitre Ier : Exercice infirmier en pratique a... (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGISCTA000037219808", "#text": "Code de la santé publique - Titre préliminaire : Exercice en pratique avancée (V)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219812", "@num": "R4301-1", "#text": "Code de la santé publique - art. R4301-1 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219816", "@num": "R4301-2", "#text": "Code de la santé publique - art. R4301-2 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219818", "@num": "R4301-3", "#text": "Code de la santé publique - art. R4301-3 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219820", "@num": "R4301-4", "#text": "Code de la santé publique - art. R4301-4 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219822", "@num": "R4301-5", "#text": "Code de la santé publique - art. R4301-5 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219824", "@num": "R4301-6", "#text": "Code de la santé publique - art. R4301-6 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219826", "@num": "R4301-7", "#text": "Code de la santé publique - art. R4301-7 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000037219828", "@num": "D4301-8", "#text": "Code de la santé publique - art. R4301-8 (M)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740743", "@num": "L162-5-3", "#text": "Code de la sécurité sociale. - art. L162-5-3", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "article D. 636-81 du code de l'éducation", "@sens": "source", "@typelien": "CITATION" }, { "#text": "articles D. 636-73 à D. 636-81 du code de l'éducation", "@sens": "source", "@typelien": "CITATION" }, { "#text": "livre III de la quatrième partie du code de la santé publique", "@sens": "source", "@typelien": "CITATION" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000037218115", "@nor": "SSAH1812409D", "@num": "2018-629", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2018-629 du 18 juillet 2018 relatif à l'exercice infirmier en pratique avancée", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000037218115", "@c_titre_court": "Décret n°2018-629 du 18 juillet 2018" }, { "@fin": "2999-01-01", "#text": "Décret n° 2018-629 du 18 juillet 2018 relatif à l'exercice infirmier en pratique avancée", "@debut": "2018-07-20", "@id_txt": "LEGITEXT000037219256", "@c_titre_court": "Décret n°2018-629 du 18 juillet 2018" } ], "@ministere": "Ministère des solidarités et de la santé", "@date_publi": "2018-07-19", "@date_signature": "2018-07-18", "@num_parution_jo": "0164" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000037219261", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000037218120", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A créé les dispositions suivantes :

- Code de la santé publique
\n Sct. Titre préliminaire : Exercice en pratique avancée, Sct. Chapitre Ier : Exercice infirmier en pratique avancée, Art. R4301-1, Art. R4301-2, Art. R4301-3, Art. R4301-4, Art. R4301-5, Art. R4301-6, Art. R4301-7, Art. R4301-8\n
\n

\n
" } }, "LEGIARTI000006740743": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-5-3", "ETAT": "ABROGE", "TYPE": "AUTONOME", "DATE_FIN": "1999-12-30", "DATE_DEBUT": "1997-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000006740743", "URL": "article/LEGI/ARTI/00/00/06/74/07/LEGIARTI000006740743.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "SSAXXXXXXXX1X162L05DXXAA" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000866621", "#text": "Décret 85-1353 1985-12-17", "@sens": "source", "@cidtexte": "JORFTEXT000000866621", "@numtexte": "85-1353", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "1985-12-17" }, { "@id": "LEGIARTI000034405848", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006759848", "@num": "17", "#text": "Ordonnance n°96-345 du 24 avril 1996 - art. 17 (V) JORF 25 avril 1996 en vigueur le 1er janvier 1997", "@sens": "source", "@cidtexte": "JORFTEXT000000192992", "@nortexte": "TASX9600042R", "@numtexte": "96-345", "@typelien": "CREATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-04-24" }, { "@id": "LEGIARTI000006759849", "@num": "20", "#text": "Ordonnance n°96-345 du 24 avril 1996 - art. 20 (V) JORF 25 avril 1996 en vigueur le 1er janvier 1997", "@sens": "source", "@cidtexte": "JORFTEXT000000192992", "@nortexte": "TASX9600042R", "@numtexte": "96-345", "@typelien": "CREATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-04-24" }, { "@id": "LEGIARTI000006759849", "@num": "20", "#text": "Ordonnance n°96-345 du 24 avril 1996 - art. 20 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000192992", "@nortexte": "TASX9600042R", "@numtexte": "96-345", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-04-24" }, { "@id": "LEGIARTI000006758215", "@num": "24", "#text": "Loi n°99-1140 du 29 décembre 1999 - art. 24 () JORF 30 décembre 1999", "@sens": "source", "@cidtexte": "JORFTEXT000000214048", "@nortexte": "MESX9900120L", "@numtexte": "99-1140", "@typelien": "ABROGATION", "@naturetexte": "LOI", "@datesignatexte": "1999-12-29" }, { "@id": "LEGIARTI000006405002", "@num": "11", "#text": "Loi n°2005-270 du 24 mars 2005 - art. 11 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000808186", "@nortexte": "DEFX0400144L", "@numtexte": "2005-270", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-03-24" }, { "@id": "LEGIARTI000006759179", "@num": "35", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759360", "@num": "103", "#text": "Loi n°2006-1640 du 21 décembre 2006 - art. 103 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000043011831", "@num": "2", "#text": "Arrêté du 30 mars 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000464188", "@nortexte": "SANS0721128A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-03-30" }, { "@id": "LEGIARTI000031829604", "@num": "2", "#text": "Décret n°2007-1170 du 2 août 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000278431", "@nortexte": "SJSS0759227D", "@numtexte": "2007-1170", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-08-02" }, { "@id": "LEGIARTI000018661631", "@num": "1", "#text": "Décret n°2008-364\n du 16 avril 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000018660666", "@nortexte": "SJSP0769782D", "@numtexte": "2008-364", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-04-16" }, { "@id": "LEGIARTI000048897125", "#text": "Décret n°2010-1362 du 10 novembre 2010 - art. 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I. - En cas de non-respect de l'objectif prévisionnel d'évolution des dépenses médicales, le montant du reversement exigible de l'ensemble des médecins conventionnés est arrêté avant la fin du premier trimestre dans les conditions prévues par la convention d'objectifs et de gestion visée à l'article L. 227-1. Un décret détermine les conditions dans lesquelles ce montant est calculé en fonction des honoraires perçus et des prescriptions réalisées.
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II. - La convention nationale des médecins définit les critères selon lesquels la charge du reversement est individualisée selon les médecins. Il est tenu compte notamment :
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1° Du respect des objectifs et taux par spécialité ou par zone géographique mentionnés au dernier alinéa du I de l'article L. 162-5-2 ;
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2° De l'évolution, du niveau relatif et des caractéristiques, en ce qu'elles ont trait notamment à la prescription, de l'activité du médecin ;
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3° De l'importance des dépassements d'honoraires ;
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4° Du respect des références médicales opposables.
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La convention fixe les conditions dans lesquelles sont déterminés, au plus tard le 15 mai, les médecins redevables d'un reversement et le montant de ce reversement.
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III. - Les sommes reçues par les caisses primaires d'assurance maladie au titre du versement mentionné au I ci-dessus sont réparties entre les différents régimes suivant la procédure prévue au deuxième alinéa de l'article L. 174-2 et affectées à la prise en charge de dépenses de prévention et d'éducation sanitaire.
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IV. - Un décret en Conseil d'Etat fixe les conditions dans lesquelles, en l'absence de dispositions conventionnelles prévues par le II ci-dessus ou en cas de carence des parties à la convention, les organismes du régime général de l'assurance maladie mettent en oeuvre les dispositions prévues par le présent article.
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Afin de favoriser la coordination des soins, tout assuré ou ayant droit âgé de seize ans ou plus indique à son organisme gestionnaire de régime de base d'assurance maladie le nom du médecin traitant qu'il a choisi, avec l'accord de celui-ci. Le choix du médecin traitant suppose, pour les ayants droit mineurs, l'accord de l'un au moins des deux parents ou du titulaire de l'autorité parentale. Le médecin traitant choisi peut être un généraliste ou un spécialiste. Il peut être un médecin hospitalier.
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Le médecin traitant peut être un médecin salarié d'un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique ou d'un établissement ou service visé à l'article L. 312-1 du code de l'action sociale et des familles. Un arrêté fixe les missions du médecin traitant quand celui-ci est un médecin salarié.
\n
Le médecin traitant participe à la mise en place et à la gestion du dossier médical personnel prévu à l'article L. 161-36-1 du présent code.
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Dans le cas où l'assuré désigne un médecin traitant autre que son médecin référent, ce dernier, pour ce qui concerne cet assuré, perd les avantages relatifs à l'adhésion à cette option conventionnelle. L'assuré perd également ces avantages.
\n
La participation prévue au I de l'article L. 322-2 peut être majorée pour les assurés et les ayants droit n'ayant pas choisi de médecin traitant ou consultant un autre médecin sans prescription de leur médecin traitant. Un décret fixe les cas dans lesquels cette majoration n'est pas appliquée, notamment lorsqu'est mis en oeuvre un protocole de soins.
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Les dispositions prévues à l'alinéa précédent ne sont pas applicables lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie, ou lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus.
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Afin de favoriser la coordination des soins, tout assuré ou ayant droit âgé de seize ans ou plus indique à son organisme gestionnaire de régime de base d'assurance maladie le nom du médecin traitant qu'il a choisi, avec l'accord de celui-ci. Le choix du médecin traitant suppose, pour les ayants droit mineurs, l'accord de l'un au moins des deux parents ou du titulaire de l'autorité parentale. Le médecin traitant choisi peut être un généraliste ou un spécialiste. Il peut être un médecin hospitalier.
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Le médecin traitant peut être un médecin salarié d'un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique ou d'un établissement ou service visé à l'article L. 312-1 du code de l'action sociale et des familles. Les médecins exerçant dans le cadre de la même spécialité au sein d'un cabinet médical situé dans les mêmes locaux ou dans un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique peuvent être conjointement désignés médecins traitants. Un arrêté fixe les missions du médecin traitant quand celui-ci est un médecin salarié.
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Le médecin traitant participe à la mise en place et à la gestion du dossier médical personnel prévu à l'article L. 161-36-1 du présent code.
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Dans le cas où l'assuré désigne un médecin traitant autre que son médecin référent, ce dernier, pour ce qui concerne cet assuré, perd les avantages relatifs à l'adhésion à cette option conventionnelle. L'assuré perd également ces avantages.
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La participation prévue au I de l'article L. 322-2 peut être majorée pour les assurés et les ayants droit n'ayant pas choisi de médecin traitant ou consultant un autre médecin sans prescription de leur médecin traitant. Un décret fixe les cas dans lesquels cette majoration n'est pas appliquée, notamment lorsqu'est mis en oeuvre un protocole de soins.
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Les dispositions prévues à l'alinéa précédent ne sont pas applicables lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie, ou lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus.
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Afin de favoriser la coordination des soins, tout assuré ou ayant droit âgé de seize ans ou plus indique à son organisme gestionnaire de régime de base d'assurance maladie le nom du médecin traitant qu'il a choisi, avec l'accord de celui-ci. Le choix du médecin traitant suppose, pour les ayants droit mineurs, l'accord de l'un au moins des deux parents ou du titulaire de l'autorité parentale. Le médecin traitant choisi peut être un généraliste ou un spécialiste. Il peut être un médecin hospitalier.

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Le médecin traitant peut être un médecin salarié d'un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique ou d'un établissement ou service visé à l'article L. 312-1 du code de l'action sociale et des familles. Les médecins exerçant dans le cadre de la même spécialité au sein d'un cabinet médical situé dans les mêmes locaux ou dans un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique peuvent être conjointement désignés médecins traitants. Un arrêté fixe les missions du médecin traitant quand celui-ci est un médecin salarié.

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Le médecin traitant participe à la mise en place et à la gestion du dossier médical personnel prévu à l'article L. 161-36-1 du présent code.

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Dans le cas où l'assuré désigne un médecin traitant autre que son médecin référent, ce dernier, pour ce qui concerne cet assuré, perd les avantages relatifs à l'adhésion à cette option conventionnelle.L'assuré perd également ces avantages.

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La participation prévue au I de l'article L. 322-2 peut être majorée pour les assurés et les ayants droit n'ayant pas choisi de médecin traitant ou consultant un autre médecin sans prescription de leur médecin traitant. Un décret fixe les cas dans lesquels cette majoration n'est pas appliquée, notamment lorsqu'est mis en oeuvre un protocole de soins ou lors d'une consultation dans une structure de médecine humanitaire ou un centre de planification ou d'éducation familiale.

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Les dispositions prévues à l'alinéa précédent ne sont pas applicables lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie, ou lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus.

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Pour les ayants droit âgés de moins de seize ans, l'un au moins des deux parents ou le titulaire de l'autorité parentale choisit le médecin traitant et l'indique à l'organisme gestionnaire.

Le médecin traitant participe à la mise en place et à la gestion du dossier médical partagé prévu à l'article L. 161-36-1 du présent code.

Sauf pour les patients âgés de moins de seize ans, la participation prévue au I de l'article L. 160-13 peut être majorée pour les assurés et les ayants droit n'ayant pas choisi de médecin traitant ou consultant un autre médecin sans prescription de leur médecin traitant. Un décret fixe les cas dans lesquels cette majoration n'est pas appliquée, notamment lorsqu'est mis en oeuvre un protocole de soins ou lors d'une consultation dans une structure de médecine humanitaire ou un centre de planification ou d'éducation familiale.

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L312-1", "@sens": "source", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006186122", "@fin": "2999-01-01", "#text": "Sous-section 1 : Dispositions relatives aux relations conventionnelles", "@debut": "1996-04-25" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006172513", "@fin": "2999-01-01", "#text": "Section 1 : Médecins", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006156028", "@fin": "2018-03-10", "#text": "Chapitre 2 : Dispositions générales relatives aux soins", "@debut": "1985-12-21" }, { "@id": "LEGISCTA000036687767", "@fin": "2999-01-01", "#text": "Chapitre 2 : Dispositions générales relatives aux soins et à la prévention", "@debut": "2018-03-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006141605", "@fin": "2999-01-01", "#text": "Titre VI : Dispositions relatives aux prestations et aux soins - Contrôle médical - Tutelle aux prestations sociales", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006126885", "@fin": "2999-01-01", "#text": "Livre I : Généralités - Dispositions communes à tout ou partie des régimes de base", "@debut": "1985-12-21" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006106050", "@fin": "2999-01-01", "#text": "Partie législative", "@debut": "1985-12-21" } ] }, "@cid": "LEGITEXT000006073189", "@nature": "CODE", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Code de la sécurité sociale", "@debut": "1958-10-16", "@id_txt": "LEGITEXT000006073189", "@c_titre_court": "Code de la sécurité sociale." } ], "@date_publi": "2999-01-01", "@date_signature": "2999-01-01" } }, "VERSIONS": { "VERSION": [ { "@etat": "ABROGE", "LIEN_ART": { "@id": "LEGIARTI000006740743", "@fin": "1999-12-30", "@num": "L162-5-3", "@etat": "ABROGE", "@debut": "1997-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740744", "@fin": "2005-12-20", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2004-08-17", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006740745", "@fin": "2009-07-23", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2005-12-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000020886870", "@fin": "2016-01-01", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2009-07-23", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000041530397", "@fin": "2016-01-28", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2016-01-01", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000031928694", "@fin": "2018-01-19", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2016-01-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000036516304", "@fin": "2021-04-28", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2018-01-19", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000043424022", "@fin": "2021-05-14", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2021-04-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000043499910", "@fin": "2023-12-29", "@num": "L162-5-3", "@etat": "MODIFIE", "@debut": "2021-05-14", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048691431", "@fin": "2999-01-01", "@num": "L162-5-3", "@etat": "VIGUEUR", "@debut": "2023-12-29", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Pour les ayants droit âgés de moins de seize ans, l'un au moins des deux parents ou le titulaire de l'autorité parentale choisit le médecin traitant et l'indique à l'organisme gestionnaire.

Le médecin traitant participe à la mise en place et à la gestion du dossier médical partagé prévu à l'article L. 161-36-1 du présent code.

Les dispositions prévues à l'alinéa précédent ne sont pas applicables :
\n
1° Lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie ;
\n
2° Lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus ;
\n
3° Lorsqu'un militaire consulte sur prescription d'un médecin des armées.

" } }, "LEGIARTI000037219812": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R4301-1", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-05-26", "DATE_DEBUT": "2018-07-20" } }, "META_COMMUN": { "ID": "LEGIARTI000037219812", "URL": "article/LEGI/ARTI/00/00/37/21/98/LEGIARTI000037219812.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037221115", "@num": "1", "#text": "Arrêté du 18 juillet 2018 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000037218463", "@nortexte": "ESRS1817656A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2018-07-18" }, { "@id": "LEGIARTI000037219261", "@num": "1", "#text": "Décret n°2018-629 du 18 juillet 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037218115", "@nortexte": "SSAH1812409D", "@numtexte": "2018-629", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-18" }, { "@id": "LEGIARTI000037218996", "@num": "D636-74", "#text": "Code de l'éducation - art. D636-74 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006071191", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000044246696", "@num": "R4301-3-1", "#text": "Code de la santé publique - art. R4301-3-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038925580", "@num": "R4301-4", "#text": "Code de la santé publique - art. R4301-4 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038915285", "@num": "R4301-8-1", "#text": "Code de la santé publique - art. R4301-8-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006740743", "@num": "L162-5-3", "#text": "Code de la sécurité sociale. - art. L162-5-3", "@sens": "source", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "articles D. 636-73 à D. 636-81 du code de l'éducation", "@sens": "source", "@typelien": "CITATION" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000037219810", "@fin": "2019-05-26", "#text": "Chapitre Ier : Exercice infirmier en pratique avancée", "@debut": "2018-07-20" }, { "@id": "LEGISCTA000038554464", "@fin": "2999-01-01", "#text": "Chapitre Ier : Infirmier en pratique avancée", "@debut": "2019-05-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000037219808", "@fin": "2999-01-01", "#text": "Titre préliminaire : Exercice en pratique avancée", "@debut": "2018-07-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145488", "@fin": "2010-03-29", "#text": "Livre III : Auxiliaires médicaux", "@debut": "2004-08-08" }, { "@id": "LEGISCTA000022035507", "@fin": "2016-12-04", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture et ambulanciers", "@debut": "2010-03-29" }, { "@id": "LEGISCTA000033524064", "@fin": "2999-01-01", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture, ambulanciers et assistants dentaires", "@debut": "2016-12-04" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132386", "@fin": "2999-01-01", "#text": "Quatrième partie : Professions de santé", "@debut": "2004-08-08" } ] }, "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": "LEGIARTI000037219812", "@fin": "2019-05-26", "@num": "R4301-1", "@etat": "MODIFIE", "@debut": "2018-07-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038554452", "@fin": "2021-10-27", "@num": "R4301-1", "@etat": "MODIFIE", "@debut": "2019-05-26", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000044248295", "@fin": "2999-01-01", "@num": "R4301-1", "@etat": "VIGUEUR", "@debut": "2021-10-27", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

L'infirmier exerçant en pratique avancée dispose de compétences élargies, par rapport à celles de l'infirmier diplômé d'Etat, validées par le diplôme d'Etat d'infirmier en pratique avancée délivré par les universités dans les conditions définies aux articles D. 636-73 à D. 636-81 du code de l'éducation.
\n
\n Il participe à la prise en charge globale des patients dont le suivi lui est confié par un médecin, conformément aux dispositions de l'article L. 4301-1 du présent code. La conduite diagnostique et les choix thérapeutiques sont définis par ce médecin et mis en œuvre dans les conditions définies au présent article ainsi qu'aux articles R. 4301-2 à R. 4301-7 et D. 4301-8.
\n
\n Dans le respect du parcours de soins du patient coordonné par le médecin traitant mentionné à l'article L. 162-5-3 du code de la sécurité sociale, l'infirmier exerçant en pratique avancée apporte son expertise et participe, en collaboration avec l'ensemble des professionnels concourant à la prise en charge du patient, à l'organisation des parcours entre les soins de premier recours, les médecins spécialistes de premier ou deuxième recours et les établissements et services de santé ou médico-sociaux.

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Le ou les domaines d'intervention ouverts à l'exercice infirmier en pratique avancée, dont la mention correspondante est inscrite dans le diplôme d'Etat d'infirmier en pratique avancée, sont les suivants :
\n
\n 1° Pathologies chroniques stabilisées ; prévention et polypathologies courantes en soins primaires. La liste des pathologies chroniques stabilisées est établie par arrêté du ministre chargé de la santé ;
\n
\n 2° Oncologie et hémato-oncologie ;
\n
\n 3° Maladie rénale chronique, dialyse, transplantation rénale.

" } }, "LEGIARTI000037219818": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R4301-3", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-05-26", "DATE_DEBUT": "2018-07-20" } }, "META_COMMUN": { "ID": "LEGIARTI000037219818", "URL": "article/LEGI/ARTI/00/00/37/21/98/LEGIARTI000037219818.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037219261", "@num": "1", "#text": "Décret n°2018-629 du 18 juillet 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037218115", "@nortexte": "SSAH1812409D", "@numtexte": "2018-629", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-18" }, { "@id": "LEGIARTI000038915253", "@num": "3", "#text": "Décret n°2019-835 du 12 août 2019 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000038914038", "@nortexte": "SSAH1907865D", "@numtexte": "2019-835", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-08-12" }, { "@id": "LEGIARTI000038915257", "@num": "4", "#text": "Décret n°2019-835 du 12 août 2019 - art. 4", "@sens": "cible", "@cidtexte": "JORFTEXT000038914038", "@nortexte": "SSAH1907865D", "@numtexte": "2019-835", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2019-08-12" }, { "@id": "LEGIARTI000044034611", "@num": "1", "#text": "Décret n°2021-1170 du 9 septembre 2021 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000044033480", "@nortexte": "SSAA2123730D", "@numtexte": "2021-1170", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2021-09-09" }, { "@id": "LEGIARTI000047841351", "@num": "1", "#text": "Décret n°2023-608 du 13 juillet 2023 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000047837913", "@nortexte": "APHA2311348D", "@numtexte": "2023-608", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2023-07-13" }, { "@id": "LEGIARTI000049735069", "@num": "2", "#text": "Décret n°2024-550 du 17 juin 2024 - art. 2", "@sens": "cible", "@cidtexte": "JORFTEXT000049734265", "@nortexte": "TSSP2411185D", "@numtexte": "2024-550", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2024-06-17" }, { "@id": "LEGIARTI000050918307", "#text": "Arrêté du 26 décembre 2024 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000050872057", "@nortexte": "TSSS2435377A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2024-12-26" }, { "@id": "LEGIARTI000050918349", "#text": "Arrêté du 26 décembre 2024 - art. (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000050872100", "@nortexte": "TSSS2435379A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2024-12-26" }, { "@id": "LEGIARTI000038925729", "@num": "D312-1", "#text": "Code de l'action sociale et des familles - art. D312-1 (M)", "@sens": "cible", "@cidtexte": "LEGITEXT000006074069", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000050722958", "@num": "D312-176-4-26", "#text": "Code de l'action sociale et des familles - art. 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R4301-8-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000041963179", "@num": "R5126-112", "#text": "Code de la santé publique - art. R5126-112 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000047950791", "@num": "R5132-6", "#text": "Code de la santé publique - art. R5132-6 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000038925714", "@num": "D160-5", "#text": "Code de la sécurité sociale. - art. 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R165-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006073189", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000037219810", "@fin": "2019-05-26", "#text": "Chapitre Ier : Exercice infirmier en pratique avancée", "@debut": "2018-07-20" }, { "@id": "LEGISCTA000038554464", "@fin": "2999-01-01", "#text": "Chapitre Ier : Infirmier en pratique avancée", "@debut": "2019-05-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000037219808", "@fin": "2999-01-01", "#text": "Titre préliminaire : Exercice en pratique avancée", "@debut": "2018-07-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145488", "@fin": "2010-03-29", "#text": "Livre III : Auxiliaires médicaux", "@debut": "2004-08-08" }, { "@id": "LEGISCTA000022035507", "@fin": "2016-12-04", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture et ambulanciers", "@debut": "2010-03-29" }, { "@id": "LEGISCTA000033524064", "@fin": "2999-01-01", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture, ambulanciers et assistants dentaires", "@debut": "2016-12-04" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132386", "@fin": "2999-01-01", "#text": "Quatrième partie : Professions de santé", "@debut": "2004-08-08" } ] }, "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": "LEGIARTI000037219818", "@fin": "2019-05-26", "@num": "R4301-3", "@etat": "MODIFIE", "@debut": "2018-07-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038554446", "@fin": "2021-10-27", "@num": "R4301-3", "@etat": "MODIFIE", "@debut": "2019-05-26", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000044248288", "@fin": "2999-01-01", "@num": "R4301-3", "@etat": "VIGUEUR", "@debut": "2021-10-27", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Dans le ou les domaines d'intervention définis à l'article R. 4301-2 inscrits dans son diplôme et dans les conditions prévues à l'article D. 4301-8 :
\n
\n 1° L'infirmier exerçant en pratique avancée est compétent pour conduire un entretien avec le patient qui lui est confié, effectuer une anamnèse de sa situation et procéder à son examen clinique ;
\n
\n 2° L'infirmier exerçant en pratique avancée peut :
\n
\n a) Conduire toute activité d'orientation, d'éducation, de prévention ou de dépistage qu'il juge nécessaire ;
\n
\n b) Effectuer tout acte d'évaluation et de conclusion clinique ou tout acte de surveillance clinique et para-clinique, consistant à adapter le suivi du patient en fonction des résultats des actes techniques ou des examens complémentaires ou de l'environnement global du patient ou reposant sur l'évaluation de l'adhésion et des capacités d'adaptation du patient à son traitement ou sur l'évaluation des risques liés aux traitements médicamenteux et non médicamenteux ;
\n
\n c) Effectuer les actes techniques et demander les actes de suivi et de prévention inscrits sur les listes établies par arrêté du ministre chargé de la santé, après avis de l'Académie nationale de médecine ;
\n
\n d) Prescrire :

\n
\n-des médicaments non soumis à prescription médicale obligatoire figurant sur la liste établie par l'Agence nationale de sécurité du médicament et des produits de santé en application de l'article R. 5121-202 ;
\n
\n-des dispositifs médicaux non soumis à prescription médicale obligatoire dont la liste est établie par arrêté du ministre chargé de la santé, après avis de l'Académie nationale de médecine ;
\n
\n-des examens de biologie médicale dont la liste est établie par arrêté du ministre chargé de la santé, après avis de l'Académie nationale de médecine ;

\n
\n e) Renouveler, en les adaptant si besoin, des prescriptions médicales dont la liste est établie par arrêté du ministre chargé de la santé, après avis de l'Académie nationale de médecine.

" } }, "LEGIARTI000037219820": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R4301-4", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-05-26", "DATE_DEBUT": "2018-07-20" } }, "META_COMMUN": { "ID": "LEGIARTI000037219820", "URL": "article/LEGI/ARTI/00/00/37/21/98/LEGIARTI000037219820.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037219261", "@num": "1", "#text": "Décret n°2018-629 du 18 juillet 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037218115", "@nortexte": "SSAH1812409D", "@numtexte": "2018-629", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-18" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000037219810", "@fin": "2019-05-26", "#text": "Chapitre Ier : Exercice infirmier en pratique avancée", "@debut": "2018-07-20" }, { "@id": "LEGISCTA000038554464", "@fin": "2999-01-01", "#text": "Chapitre Ier : Infirmier en pratique avancée", "@debut": "2019-05-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000037219808", "@fin": "2999-01-01", "#text": "Titre préliminaire : Exercice en pratique avancée", "@debut": "2018-07-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145488", "@fin": "2010-03-29", "#text": "Livre III : Auxiliaires médicaux", "@debut": "2004-08-08" }, { "@id": "LEGISCTA000022035507", "@fin": "2016-12-04", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture et ambulanciers", "@debut": "2010-03-29" }, { "@id": "LEGISCTA000033524064", "@fin": "2999-01-01", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture, ambulanciers et assistants dentaires", "@debut": "2016-12-04" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132386", "@fin": "2999-01-01", "#text": "Quatrième partie : Professions de santé", "@debut": "2004-08-08" } ] }, "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": "LEGIARTI000038554443", "@fin": "2019-08-14", "@num": "R4301-4", "@etat": "MODIFIE", "@debut": "2019-05-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000037219820", "@fin": "2019-05-26", "@num": "R4301-4", "@etat": "MODIFIE", "@debut": "2018-07-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038925580", "@fin": "2021-10-27", "@num": "R4301-4", "@etat": "MODIFIE", "@debut": "2019-08-14", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000044248278", "@fin": "2999-01-01", "@num": "R4301-4", "@etat": "VIGUEUR", "@debut": "2021-10-27", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Dans le cadre du travail en équipe entre le ou les médecins et le ou les infirmiers exerçant en pratique avancée conformément à l'article R. 4301-1, un protocole d'organisation est établi.
\n
\n Ce protocole précise :
\n
\n 1° Le ou les domaines d'intervention concernés ;
\n
\n 2° Les modalités de prise en charge par l'infirmier exerçant en pratique avancée des patients qui lui sont confiés ;
\n
\n 3° Les modalités et la régularité des échanges d'information entre le médecin et l'infirmier exerçant en pratique avancée ;
\n
\n 4° Les modalités et la régularité des réunions de concertation pluriprofessionnelle destinées à échanger sur la prise en charge des patients concernés ;
\n
\n 5° Les conditions de retour du patient vers le médecin, notamment dans les situations prévues aux articles R. 4301-5 et R. 4301-6.
\n
\n Le protocole d'organisation est signé par le ou les médecins et le ou les infirmiers exerçant en pratique avancée. Le modèle du document prévu à l'article R. 4301-6, élaboré par le ou les médecins et par le ou les infirmiers exerçant en pratique avancée, figure en annexe du protocole. Le protocole est porté, le cas échéant, à la connaissance de l'ensemble de l'équipe de soins.

" } }, "LEGIARTI000037219822": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R4301-5", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-05-26", "DATE_DEBUT": "2018-07-20" } }, "META_COMMUN": { "ID": "LEGIARTI000037219822", "URL": "article/LEGI/ARTI/00/00/37/21/98/LEGIARTI000037219822.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037219261", "@num": "1", "#text": "Décret n°2018-629 du 18 juillet 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037218115", "@nortexte": "SSAH1812409D", "@numtexte": "2018-629", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-18" }, { "@id": "LEGIARTI000044248278", "@num": "R4301-4", "#text": "Code de la santé publique - art. R4301-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000037219810", "@fin": "2019-05-26", "#text": "Chapitre Ier : Exercice infirmier en pratique avancée", "@debut": "2018-07-20" }, { "@id": "LEGISCTA000038554464", "@fin": "2999-01-01", "#text": "Chapitre Ier : Infirmier en pratique avancée", "@debut": "2019-05-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000037219808", "@fin": "2999-01-01", "#text": "Titre préliminaire : Exercice en pratique avancée", "@debut": "2018-07-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145488", "@fin": "2010-03-29", "#text": "Livre III : Auxiliaires médicaux", "@debut": "2004-08-08" }, { "@id": "LEGISCTA000022035507", "@fin": "2016-12-04", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture et ambulanciers", "@debut": "2010-03-29" }, { "@id": "LEGISCTA000033524064", "@fin": "2999-01-01", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture, ambulanciers et assistants dentaires", "@debut": "2016-12-04" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132386", "@fin": "2999-01-01", "#text": "Quatrième partie : Professions de santé", "@debut": "2004-08-08" } ] }, "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": "LEGIARTI000037219822", "@fin": "2019-05-26", "@num": "R4301-5", "@etat": "MODIFIE", "@debut": "2018-07-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000038554440", "@fin": "2021-10-27", "@num": "R4301-5", "@etat": "MODIFIE", "@debut": "2019-05-26", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000044248273", "@fin": "2999-01-01", "@num": "R4301-5", "@etat": "VIGUEUR", "@debut": "2021-10-27", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Le médecin, après concertation avec le ou les infirmiers exerçant en pratique avancée, détermine les patients auxquels un suivi par un infirmier exerçant en pratique avancée est proposé. Cette décision est prise après examen du dossier médical du patient et en référence aux compétences attestées par le diplôme d'Etat de l'infirmier en pratique avancée, délivré par l'université.
\n
\n Le médecin et l'infirmier exerçant en pratique avancée partagent les informations nécessaires au suivi du patient en application de l'article L. 1110-4. Le médecin met à la disposition de l'infirmier exerçant en pratique avancée le dossier médical du patient. Les résultats des interventions de l'infirmier exerçant en pratique avancée sont reportés dans le dossier médical et le médecin en est tenu informé. La transmission de ces informations se fait par des moyens de communication sécurisés.
\n
\n Lorsque l'infirmier exerçant en pratique avancée constate une situation dont la prise en charge dépasse son champ de compétences, il adresse le patient sans délai au médecin et en informe expressément ce dernier afin de permettre une prise en charge médicale dans un délai compatible avec l'état du patient.

" } }, "LEGIARTI000037219824": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R4301-6", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-05-26", "DATE_DEBUT": "2018-07-20" } }, "META_COMMUN": { "ID": "LEGIARTI000037219824", "URL": "article/LEGI/ARTI/00/00/37/21/98/LEGIARTI000037219824.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037219261", "@num": "1", "#text": "Décret n°2018-629 du 18 juillet 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037218115", "@nortexte": "SSAH1812409D", "@numtexte": "2018-629", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-18" }, { "@id": "LEGIARTI000044248278", "@num": "R4301-4", "#text": "Code de la santé publique - art. R4301-4 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000037219810", "@fin": "2019-05-26", "#text": "Chapitre Ier : Exercice infirmier en pratique avancée", "@debut": "2018-07-20" }, { "@id": "LEGISCTA000038554464", "@fin": "2999-01-01", "#text": "Chapitre Ier : Infirmier en pratique avancée", "@debut": "2019-05-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000037219808", "@fin": "2999-01-01", "#text": "Titre préliminaire : Exercice en pratique avancée", "@debut": "2018-07-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145488", "@fin": "2010-03-29", "#text": "Livre III : Auxiliaires médicaux", "@debut": "2004-08-08" }, { "@id": "LEGISCTA000022035507", "@fin": "2016-12-04", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture et ambulanciers", "@debut": "2010-03-29" }, { "@id": "LEGISCTA000033524064", "@fin": "2999-01-01", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture, ambulanciers et assistants dentaires", "@debut": "2016-12-04" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132386", "@fin": "2999-01-01", "#text": "Quatrième partie : Professions de santé", "@debut": "2004-08-08" } ] }, "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": "LEGIARTI000038554437", "@fin": "2021-05-31", "@num": "R4301-6", "@etat": "MODIFIE", "@debut": "2019-05-26", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000037219824", "@fin": "2019-05-26", "@num": "R4301-6", "@etat": "MODIFIE", "@debut": "2018-07-20", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000043588217", "@fin": "2021-10-27", "@num": "R4301-6", "@etat": "MODIFIE", "@debut": "2021-05-31", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000044248264", "@fin": "2999-01-01", "@num": "R4301-6", "@etat": "VIGUEUR", "@debut": "2021-10-27", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Le médecin informe le patient des modalités prévues de sa prise en charge par l'infirmier exerçant en pratique avancée. Ces modalités figurent dans le document prévu en annexe du protocole d'organisation, rempli et signé par le médecin, et remis par ce dernier au patient, ou, le cas échéant, à sa personne de confiance, à son représentant légal ou aux parents lorsqu'il s'agit d'une personne mineure. Ce document est versé au dossier médical du patient.
\n
\n Ce document précise les informations suivantes :
\n
\n 1° La composition de l'équipe ;
\n
\n 2° La fréquence à laquelle le médecin souhaite revoir le patient en consultation ;
\n
\n 3° Le droit de refus par le patient d'être suivi par l'infirmier exerçant en pratique avancée sans conséquence sur sa prise en charge, conformément à l'article L. 1110-8 ;
\n
\n 4° Les conditions de retour vers le médecin, sur décision de l'infirmier exerçant en pratique avancée, notamment dans les situations prévues au dernier alinéa de l'article R. 4301-5 ou sur demande du patient ;
\n
\n 5° Les modalités garantissant le respect de la confidentialité des données personnelles du patient lors de leur transmission entre le médecin et l'infirmier exerçant en pratique avancée.

" } }, "LEGIARTI000037219826": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R4301-7", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-05-26", "DATE_DEBUT": "2018-07-20" } }, "META_COMMUN": { "ID": "LEGIARTI000037219826", "URL": "article/LEGI/ARTI/00/00/37/21/98/LEGIARTI000037219826.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037219261", "@num": "1", "#text": "Décret n°2018-629 du 18 juillet 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037218115", "@nortexte": "SSAH1812409D", "@numtexte": "2018-629", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-18" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000037219810", "@fin": "2019-05-26", "#text": "Chapitre Ier : Exercice infirmier en pratique avancée", "@debut": "2018-07-20" }, { "@id": "LEGISCTA000038554464", "@fin": "2999-01-01", "#text": "Chapitre Ier : Infirmier en pratique avancée", "@debut": "2019-05-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000037219808", "@fin": "2999-01-01", "#text": "Titre préliminaire : Exercice en pratique avancée", "@debut": "2018-07-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145488", "@fin": "2010-03-29", "#text": "Livre III : Auxiliaires médicaux", "@debut": "2004-08-08" }, { "@id": "LEGISCTA000022035507", "@fin": "2016-12-04", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture et ambulanciers", "@debut": "2010-03-29" }, { "@id": "LEGISCTA000033524064", "@fin": "2999-01-01", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture, ambulanciers et assistants dentaires", "@debut": "2016-12-04" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132386", "@fin": "2999-01-01", "#text": "Quatrième partie : Professions de santé", "@debut": "2004-08-08" } ] }, "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": "LEGIARTI000037219826", "@fin": "2019-05-26", "@num": "R4301-7", "@etat": "MODIFIE", "@debut": "2018-07-20", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000038554434", "@fin": "2999-01-01", "@num": "R4301-7", "@etat": "VIGUEUR", "@debut": "2019-05-26", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Au sein de l'équipe, l'infirmier exerçant en pratique avancée contribue à l'analyse et à l'évaluation des pratiques professionnelles infirmières et à leur amélioration ainsi qu'à la diffusion de données probantes et à leur appropriation.
\n
\nIl participe à l'évaluation des besoins en formation de l'équipe et à l'élaboration des actions de formation.
\n
\nIl contribue à la production de connaissances en participant aux travaux de recherche relatifs à l'exercice infirmier.

\n
" } }, "LEGIARTI000037219828": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "D4301-8", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2019-05-26", "DATE_DEBUT": "2018-07-20" } }, "META_COMMUN": { "ID": "LEGIARTI000037219828", "URL": "article/LEGI/ARTI/00/00/37/21/98/LEGIARTI000037219828.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000037219261", "@num": "1", "#text": "Décret n°2018-629 du 18 juillet 2018 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000037218115", "@nortexte": "SSAH1812409D", "@numtexte": "2018-629", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2018-07-18" }, { "@id": "LEGITEXT000038915393", "#text": "Arrêté du 12 août 2019 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000038914138", "@nortexte": "SSAH1919921A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-12" }, { "@id": "LEGIARTI000038915395", "@num": "1", "#text": "Arrêté du 12 août 2019 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000038914138", "@nortexte": "SSAH1919921A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2019-08-12" }, { "@id": "LEGIARTI000044248295", "@num": "R4301-1", "#text": "Code de la santé publique - art. R4301-1 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "#text": "article D. 636-81 du code de l'éducation", "@sens": "source", "@typelien": "CITATION" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000037219810", "@fin": "2019-05-26", "#text": "Chapitre Ier : Exercice infirmier en pratique avancée", "@debut": "2018-07-20" }, { "@id": "LEGISCTA000038554464", "@fin": "2999-01-01", "#text": "Chapitre Ier : Infirmier en pratique avancée", "@debut": "2019-05-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000037219808", "@fin": "2999-01-01", "#text": "Titre préliminaire : Exercice en pratique avancée", "@debut": "2018-07-20" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145488", "@fin": "2010-03-29", "#text": "Livre III : Auxiliaires médicaux", "@debut": "2004-08-08" }, { "@id": "LEGISCTA000022035507", "@fin": "2016-12-04", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture et ambulanciers", "@debut": "2010-03-29" }, { "@id": "LEGISCTA000033524064", "@fin": "2999-01-01", "#text": "Livre III : Auxiliaires médicaux, aides-soignants, auxiliaires de puériculture, ambulanciers et assistants dentaires", "@debut": "2016-12-04" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132386", "@fin": "2999-01-01", "#text": "Quatrième partie : Professions de santé", "@debut": "2004-08-08" } ] }, "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": "LEGIARTI000037219828", "@fin": "2019-05-26", "@num": "D4301-8", "@etat": "MODIFIE", "@debut": "2018-07-20", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000038554429", "@fin": "2999-01-01", "@num": "D4301-8", "@etat": "VIGUEUR", "@debut": "2019-05-26", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

L'infirmier est autorisé à exercer en pratique avancée dans l'un des domaines d'intervention prévus à l'article R. 4301-2, s'il remplit les conditions suivantes :
\n
\n 1° Obtenir le diplôme d'Etat d'infirmier en pratique avancée délivré par les universités dans les conditions définies à l'article D. 636-81 du code de l'éducation, dans la mention correspondant au domaine d'intervention ;
\n
\n 2° Justifier de trois années minimum d'exercice en équivalent temps plein de la profession d'infirmier ;
\n
\n 3° Etre enregistré auprès du service ou de l'organisme désigné à cette fin par un arrêté du ministre chargé de la santé.

" } }, "LEGIARTI000041530397": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "L162-5-3", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2016-01-28", "DATE_DEBUT": "2016-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000041530397", "URL": "article/LEGI/ARTI/00/00/41/53/03/LEGIARTI000041530397.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000034405848", "@num": "69", "#text": "Décret n°90-1215 du 20 décembre 1990 - art. 69 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000717193", "@nortexte": "SPSS9001980D", "@numtexte": "90-1215", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "1990-12-20" }, { "@id": "LEGIARTI000006759849", "@num": "20", "#text": "Ordonnance n°96-345 du 24 avril 1996 - art. 20 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000192992", "@nortexte": "TASX9600042R", "@numtexte": "96-345", "@typelien": "CITATION", "@naturetexte": "ORDONNANCE", "@datesignatexte": "1996-04-24" }, { "@id": "LEGIARTI000006405002", "@num": "11", "#text": "Loi n°2005-270 du 24 mars 2005 - art. 11 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000000808186", "@nortexte": "DEFX0400144L", "@numtexte": "2005-270", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-03-24" }, { "@id": "LEGIARTI000006759179", "@num": "35", "#text": "Loi n°2005-1579 du 19 décembre 2005 - art. 35 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000815414", "@nortexte": "SANX0500246L", "@numtexte": "2005-1579", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2005-12-19" }, { "@id": "LEGIARTI000006759360", "@num": "103", "#text": "Loi n°2006-1640 du 21 décembre 2006 - art. 103 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000817095", "@nortexte": "SANX0600163L", "@numtexte": "2006-1640", "@typelien": "CITATION", "@naturetexte": "LOI", "@datesignatexte": "2006-12-21" }, { "@id": "LEGIARTI000043011831", "@num": "2", "#text": "Arrêté du 30 mars 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000464188", "@nortexte": "SANS0721128A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2007-03-30" }, { "@id": "LEGIARTI000031829604", "@num": "2", "#text": "Décret n°2007-1170 du 2 août 2007 - art. 2 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000000278431", "@nortexte": "SJSS0759227D", "@numtexte": "2007-1170", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-08-02" }, { "@id": "LEGIARTI000018661631", "@num": "1", "#text": "Décret n°2008-364\n du 16 avril 2008 - art. 1 (V)", "@sens": "cible", "@cidtexte": "JORFTEXT000018660666", "@nortexte": "SJSP0769782D", "@numtexte": "2008-364", "@typelien": "CITATION", "@naturetexte": "DECRET", "@datesignatexte": "2008-04-16" }, { "@id": "LEGIARTI000048897125", "#text": "Décret n°2010-1362 du 10 novembre 2010 - art. 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Le médecin traitant participe à la mise en place et à la gestion du dossier médical personnel prévu à l'article L. 161-36-1 du présent code.

La participation prévue au I de l'article L. 160-13 peut être majorée pour les assurés et les ayants droit n'ayant pas choisi de médecin traitant ou consultant un autre médecin sans prescription de leur médecin traitant. Un décret fixe les cas dans lesquels cette majoration n'est pas appliquée, notamment lorsqu'est mis en oeuvre un protocole de soins ou lors d'une consultation dans une structure de médecine humanitaire ou un centre de planification ou d'éducation familiale.

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Pour les ayants droit âgés de moins de seize ans, l'un au moins des deux parents ou le titulaire de l'autorité parentale choisit le médecin traitant et l'indique à l'organisme gestionnaire.

Le médecin traitant participe à la mise en place et à la gestion du dossier médical partagé prévu à l'article L. 161-36-1 du présent code.

Les dispositions prévues à l'alinéa précédent ne sont pas applicables :

1° Lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie ;

2° Lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus ;

3° Lorsqu'un militaire consulte sur prescription d'un médecin des armées ;

4° Lorsque le patient est adressé par une sage-femme à un autre médecin à l'occasion des soins qu'elle est amenée à lui dispenser.

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Pour les ayants droit âgés de moins de seize ans, l'un au moins des deux parents ou le titulaire de l'autorité parentale choisit le médecin traitant et l'indique à l'organisme gestionnaire.

Le médecin traitant peut être un médecin salarié dans les conditions prévues par le a du 3° de l'article L. 4041-2 du code de la santé publique ou un médecin salarié d'un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique ou d'un établissement ou service visé à l'article L. 312-1 du code de l'action sociale et des familles. Les médecins exerçant dans le cadre de la même spécialité au sein d'un cabinet médical situé dans les mêmes locaux ou dans un centre de santé mentionné à l'article L. 6323-1 du code de la santé publique peuvent être conjointement désignés médecins traitants. Un arrêté fixe les missions du médecin traitant quand celui-ci est un médecin salarié.

Le médecin traitant participe à la mise en place et à la gestion du dossier médical partagé prévu à l'article L. 161-36-1 du présent code.

Les dispositions prévues à l'alinéa précédent ne sont pas applicables :

1° Lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie ;

2° Lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus ;

3° Lorsqu'un militaire consulte sur prescription d'un médecin des armées ;

4° Lorsque le patient est adressé par une sage-femme à un autre médecin à l'occasion des soins qu'elle est amenée à lui dispenser.

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Pour les ayants droit âgés de moins de seize ans, l'un au moins des deux parents ou le titulaire de l'autorité parentale choisit le médecin traitant et l'indique à l'organisme gestionnaire.

Le médecin traitant participe à la mise en place et à la gestion du dossier médical partagé prévu à l'article L. 161-36-1 du présent code.

Les dispositions prévues à l'alinéa précédent ne sont pas applicables :

1° Lorsque la consultation se fait en cas d'urgence auprès d'un autre médecin que celui désigné à l'organisme gestionnaire du régime de base d'assurance maladie ;

2° Lorsque la consultation se fait en dehors du lieu où réside de façon stable et durable l'assuré social ou l'ayant droit âgé de seize ans ou plus ;

3° Lorsqu'un militaire consulte sur prescription d'un médecin des armées ;

4° Lorsque le patient est adressé par une sage-femme à un autre médecin à l'occasion des soins qu'elle est amenée à lui dispenser ;

5° Durant l'année qui suit le départ à la retraite ou le changement de département du médecin que les patients avaient déclaré comme médecin traitant.

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Article 1 ENTIEREMENT_MODIF (Décret n° 2018-629 du 18 juillet 2018 relatif à l'exercice infirmier en pratique avancée)