{ "article": { "LEGIARTI000046875109": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "3", "TYPE": "ENTIEREMENT_MODIF", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2999-01-01" } }, "META_COMMUN": { "ID": "LEGIARTI000046875109", "URL": "article/LEGI/ARTI/00/00/46/87/51/LEGIARTI000046875109.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000046884899", "@num": "D6124-121", "#text": "Code de la santé publique - art. D6124-121 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046884893", "@num": "D6124-123", "#text": "Code de la santé publique - art. D6124-123 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046880961", "@num": "D6124-123-1", "#text": "Code de la santé publique - art. D6124-123-1 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CREE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046884890", "@num": "D6124-126", "#text": "Code de la santé publique - art. D6124-126 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000046884887", "@num": "D6124-130", "#text": "Code de la santé publique - art. D6124-130 (VD)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "MODIFIE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000046849056", "@nor": "SPRH2207642D", "@num": "2022-1766", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2022-1766 du 29 décembre 2022 relatif aux conditions techniques de fonctionnement des activités de soins de chirurgie, de chirurgie cardiaque et de neurochirurgie", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000046849056", "@c_titre_court": "Décret n°2022-1766 du 29 décembre 2022" }, { "@fin": "2999-01-01", "#text": "Décret n° 2022-1766 du 29 décembre 2022 relatif aux conditions techniques de fonctionnement des activités de soins de chirurgie, de chirurgie cardiaque et de neurochirurgie", "@debut": "2023-01-01", "@id_txt": "LEGITEXT000046875097", "@c_titre_court": "Décret n°2022-1766 du 29 décembre 2022" } ], "@ministere": "Ministère de la santé et de la prévention", "@date_publi": "2022-12-31", "@date_signature": "2022-12-29", "@num_parution_jo": "0303" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000046875109", "@fin": "2999-01-01", "@num": "3", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000046849073", "@fin": "2999-01-01", "@num": "3", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A modifié les dispositions suivantes :

- Code de la santé publique
\n Art. D6124-121, Art. D6124-123, Art. D6124-126, Art. D6124-130\n
\n

\n
\n
A créé les dispositions suivantes :

- Code de la santé publique
\n Art. D6124-123-1\n
\n

\n
" } }, "LEGIARTI000046880961": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "D6124-123-1", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2023-06-01" } }, "META_COMMUN": { "ID": "LEGIARTI000046880961", "URL": "article/LEGI/ARTI/00/00/46/88/09/LEGIARTI000046880961.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

Conformément au I de l’article 7 du décret n° 2022-1766 du 29 décembre 2022, ces dispositions entrent en vigueur à compter du 1^er juin 2023. Se reporter aux conditions d’application prévues aux II et III dudit article.

" }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000046875109", "@num": "3", "#text": "Décret n°2022-1766 du 29 décembre 2022 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000046849056", "@nortexte": "SPRH2207642D", "@numtexte": "2022-1766", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-29" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006198885", "@fin": "2999-01-01", "#text": "Paragraphe 1 : Conditions générales", "@debut": "2006-01-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006196705", "@fin": "2999-01-01", "#text": "Sous-section 8 : Chirurgie cardiaque", "@debut": "2006-01-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006190819", "@fin": "2999-01-01", "#text": "Section 1 : Activités de soins", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178695", "@fin": "2999-01-01", "#text": "Chapitre IV : Conditions techniques de fonctionnement", "@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": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000046880961", "@fin": "2999-01-01", "@num": "D6124-123-1", "@etat": "VIGUEUR", "@debut": "2023-06-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Le titulaire de l'autorisation s'assure du recueil et de l'analyse de données issues des pratiques professionnelles dans une finalité d'amélioration des pratiques et de gestion des risques.
\n
\n L'équipe médicale mentionnée au 1° de l'article D. 6124-122 renseigne les registres professionnels d'observation des pratiques mentionnés au 3° de l'article D. 4021-2-1, dès lors que ces registres sont opérationnels.

" } }, "LEGIARTI000046884887": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "D6124-130", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2023-06-01" } }, "META_COMMUN": { "ID": "LEGIARTI000046884887", "URL": "article/LEGI/ARTI/00/00/46/88/48/LEGIARTI000046884887.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

" }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000814956", "#text": "Décret n°2005-840 du 20 juillet 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000814956", "@nortexte": "SANP0522707D", "@numtexte": "2005-840", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-07-20" }, { "@id": "LEGIARTI000046875109", "@num": "3", "#text": "Décret n°2022-1766 du 29 décembre 2022 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000046849056", "@nortexte": "SPRH2207642D", "@numtexte": "2022-1766", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-29" }, { "@id": "LEGIARTI000006917134", "@num": "D6124-128", "#text": "Code de la santé publique - art. D6124-128 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006917134", "@num": "D6124-128", "#text": "Code de la santé publique - art. D6124-128 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006198886", "@fin": "2999-01-01", "#text": "Paragraphe 2 : Conditions particulières aux structures dédiées à la chirurgie cardiaque pédiatrique", "@debut": "2006-01-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006196705", "@fin": "2999-01-01", "#text": "Sous-section 8 : Chirurgie cardiaque", "@debut": "2006-01-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006190819", "@fin": "2999-01-01", "#text": "Section 1 : Activités de soins", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178695", "@fin": "2999-01-01", "#text": "Chapitre IV : Conditions techniques de fonctionnement", "@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": "LEGIARTI000006917138", "@fin": "2023-06-01", "@num": "D6124-130", "@etat": "MODIFIE", "@debut": "2006-03-10", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000046884887", "@fin": "2999-01-01", "@num": "D6124-130", "@etat": "VIGUEUR", "@debut": "2023-06-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Le bloc interventionnel protégé dans lequel s'exerce l'activité de chirurgie cardiaque pédiatrique comporte des dispositifs médicaux adaptés au nouveau-né et à l'enfant, notamment pour les appareils de circulation sanguine extracorporelle, les respirateurs et les appareils d'assistance circulatoire prolongée.

\n
" } }, "LEGIARTI000046884890": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "D6124-126", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2023-06-01" } }, "META_COMMUN": { "ID": "LEGIARTI000046884890", "URL": "article/LEGI/ARTI/00/00/46/88/48/LEGIARTI000046884890.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

" }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000814956", "#text": "Décret n°2005-840 du 20 juillet 2005", "@sens": "source", "@cidtexte": "JORFTEXT000000814956", "@nortexte": "SANP0522707D", "@numtexte": "2005-840", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2005-07-20" }, { "@id": "LEGIARTI000046875109", "@num": "3", "#text": "Décret n°2022-1766 du 29 décembre 2022 - art. 3", "@sens": "cible", "@cidtexte": "JORFTEXT000046849056", "@nortexte": "SPRH2207642D", "@numtexte": "2022-1766", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2022-12-29" }, { "@id": "LEGIARTI000006917126", "@num": "D6124-124", "#text": "Code de la santé publique - art. D6124-124 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006917126", "@num": "D6124-124", "#text": "Code de la santé publique - art. D6124-124 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006917134", "@num": "D6124-128", "#text": "Code de la santé publique - art. D6124-128 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006917135", "@num": "D6124-128", "#text": "Code de la santé publique - art. D6124-128 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006198886", "@fin": "2999-01-01", "#text": "Paragraphe 2 : Conditions particulières aux structures dédiées à la chirurgie cardiaque pédiatrique", "@debut": "2006-01-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006196705", "@fin": "2999-01-01", "#text": "Sous-section 8 : Chirurgie cardiaque", "@debut": "2006-01-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006190819", "@fin": "2999-01-01", "#text": "Section 1 : Activités de soins", "@debut": "2005-07-26" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178695", "@fin": "2999-01-01", "#text": "Chapitre IV : Conditions techniques de fonctionnement", "@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": "TRANSFERE", "LIEN_ART": { "@id": "LEGIARTI000006917130", "@fin": "2006-03-10", "@num": "D6124-126", "@etat": "TRANSFERE", "@debut": "2006-01-27", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000006917131", "@fin": "2023-06-01", "@num": "D6124-126", "@etat": "MODIFIE", "@debut": "2006-03-10", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000046884890", "@fin": "2999-01-01", "@num": "D6124-126", "@etat": "VIGUEUR", "@debut": "2023-06-01", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

L'unité d'hospitalisation à temps complet comporte un nombre de lits dédiés suffisant et dispose du personnel nécessaire pour être en mesure de prendre en charge à tout moment les soins pré- et post-opératoires de chirurgie cardiaque du nouveau-né ou de l'enfant.

" } }, "LEGIARTI000046884893": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "D6124-123", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2023-06-01" } }, "META_COMMUN": { "ID": "LEGIARTI000046884893", "URL": "article/LEGI/ARTI/00/00/46/88/48/LEGIARTI000046884893.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "NOTA": { "CONTENU": "

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Le bloc interventionnel protégé dispose :
\n
\n 1° D'au moins deux salles d'intervention protégées affectées à la chirurgie cardiaque, aux dimensions compatibles avec le niveau d'équipement et les conditions de fonctionnement requis, dotées chacune d'un appareil de circulation sanguine extracorporelle équipé des systèmes d'alarmes et de surveillance des paramètres et disposant d'un appareil de récupération du sang ;
\n
\n 2° D'au moins une salle d'intervention protégée disposant d'un moyen de guidage par imagerie et permettant la pratique d'une intervention radioguidée et d'un acte chirurgical en simultané, en succession ou par conversion. Cette salle d'intervention protégée est mutualisable avec d'autres activités de soins ;
\n
\n 3° D'un appareil d'assistance cardio-circulatoire, accessible immédiatement ;
\n
\n 4° D'un local aseptique réservé au stockage des appareils de circulation sanguine extracorporelle.

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Les unités d'hospitalisation à temps complet de chirurgie cardiaque comportent un nombre de lits dédiés suffisant pour être en mesure de prendre en charge à tout moment les patients de chirurgie cardiaque.

Des protocoles sont conclus entre les responsables médicaux des unités de chirurgie cardiaque et des unités de réanimation sur la mise à disposition de lits de réanimation en nombre suffisant et sur les modalités de prise en charge des patients de chirurgie cardiaque.

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Article 3 ENTIEREMENT_MODIF (Décret n° 2022-1766 du 29 décembre 2022 relatif aux conditions techniques de fonctionnement des activités de soins de chirurgie, de chirurgie cardiaque et de neurochirurgie)