{ "article": { "LEGIARTI000048882616": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R3131-14-7", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2024-01-06" } }, "META_COMMUN": { "ID": "LEGIARTI000048882616", "URL": "article/LEGI/ARTI/00/00/48/88/26/LEGIARTI000048882616.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000048882212", "@num": "1", "#text": "Décret n°2024-8 du 3 janvier 2024 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000048851655", "@nortexte": "SPRP2324370D", "@numtexte": "2024-8", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2024-01-03" }, { "@id": "LEGIARTI000006912062", "@num": "R3131-10", "#text": "Code de la santé publique - art. R3131-10", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048882618", "@num": "R3131-14-8", "#text": "Code de la santé publique - art. R3131-14-8 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000048882310", "@fin": "2999-01-01", "#text": "Sous-section 5 : Dispositions particulières applicables au service de santé des armées", "@debut": "2024-01-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006190468", "@fin": "2016-10-09", "#text": "Section 2 : Plan blanc d'établissement", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000033223194", "@fin": "2024-01-06", "#text": "Section 2 : Situation sanitaire exceptionnelle", "@debut": "2016-10-09" }, { "@id": "LEGISCTA000048889573", "@fin": "2999-01-01", "#text": "Section 2 : Situations sanitaires exceptionnelles", "@debut": "2024-01-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178568", "@fin": "2020-03-28", "#text": "Chapitre Ier : Mesures d'urgences", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766005", "@fin": "2999-01-01", "#text": "Chapitre Ier : Menaces sanitaires", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006160976", "@fin": "2020-03-28", "#text": "Titre III : Menaces sanitaires graves", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766007", "@fin": "2999-01-01", "#text": "Titre III : Menaces et crises sanitaires graves", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145476", "@fin": "2999-01-01", "#text": "Livre Ier : Lutte contre les maladies transmissibles", "@debut": "2003-05-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132385", "@fin": "2999-01-01", "#text": "Troisième partie : Lutte contre les maladies et dépendances", "@debut": "2003-05-27" } ] }, "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": "LEGIARTI000048882616", "@fin": "2999-01-01", "@num": "R3131-14-7", "@etat": "VIGUEUR", "@debut": "2024-01-06", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Les hôpitaux des armées élaborent et transmettent un plan de gestion des tensions hospitalières et des situations sanitaires exceptionnelles dans les conditions prévues aux I, II et IV de l'article R. 3131-10.

Ce plan est préparé par le médecin-chef de l'hôpital des armées et arrêté par le ministre de la défense.

" } }, "LEGIARTI000006912062": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R3131-10", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2013-01-10", "DATE_DEBUT": "2007-08-28" } }, "META_COMMUN": { "ID": "LEGIARTI000006912062", "URL": "article/LEGI/ARTI/00/00/06/91/20/LEGIARTI000006912062.xml", "NATURE": "Article", "ORIGINE": "LEGI", "ANCIEN_ID": "YXXXXXXXXXX3131R0100XX0A" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000412528", "#text": "Décret 2003-462 2003-05-21", "@sens": "source", "@cidtexte": "JORFTEXT000000412528", "@nortexte": "SANP0321523D", "@numtexte": "2003-462", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2003-05-21" }, { "@id": "LEGIARTI000006722521", "@num": "1", "#text": "Décret n°2007-1273 du 27 août 2007 - art. 1 () JORF 28 août 2007", "@sens": "source", "@cidtexte": "JORFTEXT000000792006", "@nortexte": "SJSP0759404D", "@numtexte": "2007-1273", "@typelien": "CREATION", "@naturetexte": "DECRET", "@datesignatexte": "2007-08-27" }, { "@id": "LEGIARTI000025585243", "@num": "2", "#text": "Arrêté du 13 mars 2009 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020398786", "@nortexte": "SASH0904823A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-03-13" }, { "@id": "LEGIARTI000028885519", "#text": "Arrêté du 21 mars 2013 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000027275665", "@nortexte": "AFSH1307681A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-03-21" }, { "@id": "LEGIARTI000030561990", "#text": "ARRÊTÉ du 30 avril 2015 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000030558910", "@nortexte": "AFSH1510674A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-04-30" }, { "@id": "LEGIARTI000032858795", "#text": "Arrêté du 28 juin 2016 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000032855230", "@nortexte": "AFSH1618018A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-28" }, { "@id": "LEGIARTI000006911688", "@num": "R3110-10", "#text": "Code de la santé publique - art. R3110-10 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006911688", "@num": "R3110-10", "#text": "Code de la santé publique - art. R3110-10 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000026916619", "@num": "R3131-10-1", "#text": "Code de la santé publique - art. R3131-10-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889682", "@num": "R3131-11", "#text": "Code de la santé publique - art. R3131-11 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048882616", "@num": "R3131-14-7", "#text": "Code de la santé publique - art. R3131-14-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889724", "@num": "R3131-16", "#text": "Code de la santé publique - art. R3131-16 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049774305", "@num": "R3821-13", "#text": "Code de la santé publique - art. R3821-13 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000006190470", "@fin": "2013-01-10", "#text": "Section 4 : Risques nucléaires, radiologiques, biologiques ou chimiques.", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000026917972", "@fin": "2016-10-09", "#text": "Section 4 : Situations sanitaires exceptionnelles", "@debut": "2013-01-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178568", "@fin": "2020-03-28", "#text": "Chapitre Ier : Mesures d'urgences", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766005", "@fin": "2999-01-01", "#text": "Chapitre Ier : Menaces sanitaires", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006160976", "@fin": "2020-03-28", "#text": "Titre III : Menaces sanitaires graves", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766007", "@fin": "2999-01-01", "#text": "Titre III : Menaces et crises sanitaires graves", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145476", "@fin": "2999-01-01", "#text": "Livre Ier : Lutte contre les maladies transmissibles", "@debut": "2003-05-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132385", "@fin": "2999-01-01", "#text": "Troisième partie : Lutte contre les maladies et dépendances", "@debut": "2003-05-27" } ] }, "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": "LEGIARTI000006912062", "@fin": "2013-01-10", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2007-08-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026917953", "@fin": "2016-10-09", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2013-01-10", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033223147", "@fin": "2024-01-06", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2016-10-09", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048889629", "@fin": "2999-01-01", "@num": "R3131-10", "@etat": "VIGUEUR", "@debut": "2024-01-06", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
A l'échelle de la zone de défense, les établissements de santé de référence sont chargés :
\n
1° D'apporter une assistance technique aux délégués de zone responsables des affaires sanitaires et sociales ;
\n
2° De conseiller les établissements de santé sur les risques nucléaires, radiologiques, biologiques et chimiques et de former leurs personnels en ce domaine ;
\n
3° De porter un diagnostic et, le cas échéant, d'assurer une prise en charge thérapeutique en cas d'accident nucléaire, radiologique, biologique ou chimique.
" } }, "LEGIARTI000026917953": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R3131-10", "ETAT": "MODIFIE", "TYPE": "AUTONOME", "DATE_FIN": "2016-10-09", "DATE_DEBUT": "2013-01-10" } }, "META_COMMUN": { "ID": "LEGIARTI000026917953", "URL": "article/LEGI/ARTI/00/00/26/91/79/LEGIARTI000026917953.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000412528", "#text": "Décret n°2003-462 du 21 mai 2003", "@sens": "source", "@cidtexte": "JORFTEXT000000412528", "@nortexte": "SANP0321523D", "@numtexte": "2003-462", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2003-05-21" }, { "@id": "LEGIARTI000025585243", "@num": "2", "#text": "Arrêté du 13 mars 2009 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020398786", "@nortexte": "SASH0904823A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-03-13" }, { "@id": "LEGIARTI000026916467", "@num": "1", "#text": "Décret n°2013-15\n du 7 janvier 2013 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000026915951", "@nortexte": "AFSP1205870D", "@numtexte": "2013-15", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2013-01-07" }, { "@id": "LEGIARTI000028885519", "#text": "Arrêté du 21 mars 2013 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000027275665", "@nortexte": "AFSH1307681A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-03-21" }, { "@id": "LEGIARTI000030561990", "#text": "ARRÊTÉ du 30 avril 2015 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000030558910", "@nortexte": "AFSH1510674A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-04-30" }, { "@id": "LEGIARTI000032858795", "#text": "Arrêté du 28 juin 2016 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000032855230", "@nortexte": "AFSH1618018A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-28" }, { "@id": "LEGIARTI000006911688", "@num": "R3110-10", "#text": "Code de la santé publique - art. R3110-10 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006911688", "@num": "R3110-10", "#text": "Code de la santé publique - art. R3110-10 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000026916619", "@num": "R3131-10-1", "#text": "Code de la santé publique - art. R3131-10-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889682", "@num": "R3131-11", "#text": "Code de la santé publique - art. R3131-11 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048882616", "@num": "R3131-14-7", "#text": "Code de la santé publique - art. R3131-14-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889724", "@num": "R3131-16", "#text": "Code de la santé publique - art. R3131-16 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049774305", "@num": "R3821-13", "#text": "Code de la santé publique - art. R3821-13 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000026916589", "@fin": "2999-01-01", "#text": "Sous-section 2 : Etablissements de santé de référence", "@debut": "2013-01-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006190470", "@fin": "2013-01-10", "#text": "Section 4 : Risques nucléaires, radiologiques, biologiques ou chimiques.", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000026917972", "@fin": "2016-10-09", "#text": "Section 4 : Situations sanitaires exceptionnelles", "@debut": "2013-01-10" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178568", "@fin": "2020-03-28", "#text": "Chapitre Ier : Mesures d'urgences", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766005", "@fin": "2999-01-01", "#text": "Chapitre Ier : Menaces sanitaires", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006160976", "@fin": "2020-03-28", "#text": "Titre III : Menaces sanitaires graves", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766007", "@fin": "2999-01-01", "#text": "Titre III : Menaces et crises sanitaires graves", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145476", "@fin": "2999-01-01", "#text": "Livre Ier : Lutte contre les maladies transmissibles", "@debut": "2003-05-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132385", "@fin": "2999-01-01", "#text": "Troisième partie : Lutte contre les maladies et dépendances", "@debut": "2003-05-27" } ] }, "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": "LEGIARTI000006912062", "@fin": "2013-01-10", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2007-08-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026917953", "@fin": "2016-10-09", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2013-01-10", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033223147", "@fin": "2024-01-06", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2016-10-09", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048889629", "@fin": "2999-01-01", "@num": "R3131-10", "@etat": "VIGUEUR", "@debut": "2024-01-06", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Dans la zone de défense, les établissements de santé de référence sont chargés :

1° D'apporter une assistance technique à l'agence régionale de santé de zone ;

2° D'apporter une expertise technique aux établissements de santé sur toute question relative à la préparation et à la gestion des situations sanitaires exceptionnelles ;

3° De conduire des actions de formation du personnel des établissements de santé à la gestion des situations sanitaires exceptionnelles ;

4° De proposer à l'agence régionale de santé de zone une organisation de la prise en charge médicale des patients et des examens biologiques, radiologiques ou toxicologiques par les établissements de santé de la zone de défense et de sécurité ;

5° D'assurer le diagnostic et la prise en charge thérapeutique des patients.

\n
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I.-Le dispositif \" ORSAN \" mentionné à l'article L. 3131-11 comprend notamment :

1° Un schéma régional organisant, en fonction des risques identifiés, les parcours de soin et les modalités de coordination des différents acteurs du système de santé pour répondre aux situations sanitaires exceptionnelles. Ce schéma précise, par parcours de soin, les missions et les objectifs opérationnels confiés aux acteurs du système de santé notamment les services d'aide médicale urgente (SAMU), les structures mobiles d'urgence et de réanimation (SMUR), les établissements de santé, les établissements médico-sociaux et les professionnels de santé ;

2° Un programme annuel ou pluriannuel identifiant les actions à mener par les acteurs du système de santé pour maintenir ou développer les capacités nécessaires, en particulier en terme de prise en charge des patients ou victimes, de formation des professionnels de santé, d'attribution des moyens opérationnels. Ce programme prévoit notamment la réalisation chaque année d'un ou plusieurs exercices ou entrainements associant les acteurs du système de santé, permettant d'évaluer le caractère opérationnel du dispositif \" ORSAN \".

II.-Le dispositif \" ORSAN \" est arrêté par le directeur général de l'agence régionale de santé, après avis des préfets de département, des comités départementaux de l'aide médicale urgente, de la permanence des soins et des transports sanitaires concernés et du directeur général de l'agence régionale de santé de zone.

III.-L'agence régionale de santé inclut dans les contrats pluriannuels d'objectifs et de moyens, mentionnés à l'article L. 6114-1, conclus avec les établissements de santé et les établissements médico-sociaux, les objectifs qui leur sont assignés dans le cadre du dispositif \" ORSAN \". Les centres et maisons de santé peuvent prévoir leur participation au dispositif \" ORSAN \" dans le cadre d'une convention conclue avec l'agence régionale de santé.

\n
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R741-2", "@sens": "source", "@cidtexte": "LEGITEXT000025503132", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "@cid": "JORFTEXT000048851655", "@nor": "SPRP2324370D", "@num": "2024-8", "@nature": "DECRET", "TITRE_TXT": [ { "@fin": "2999-01-01", "#text": "Décret n° 2024-8 du 3 janvier 2024 relatif à la préparation et à la réponse du système de santé pour faire face aux situations sanitaires exceptionnelles", "@debut": "2999-01-01", "@id_txt": "JORFTEXT000048851655", "@c_titre_court": "Décret n°2024-8 du 3 janvier 2024" }, { "@fin": "2999-01-01", "#text": "Décret n° 2024-8 du 3 janvier 2024 relatif à la préparation et à la réponse du système de santé pour faire face aux situations sanitaires exceptionnelles", "@debut": "2024-01-06", "@id_txt": "LEGITEXT000048882201", "@c_titre_court": "Décret n°2024-8 du 3 janvier 2024" } ], "@ministere": "Ministère de la santé et de la prévention", "@date_publi": "2024-01-05", "@date_signature": "2024-01-03", "@num_parution_jo": "0003" } }, "VERSIONS": { "VERSION": [ { "LIEN_ART": { "@id": "LEGIARTI000048882212", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "LEGI" } }, { "LIEN_ART": { "@id": "JORFARTI000048851666", "@fin": "2999-01-01", "@num": "1", "@debut": "2999-01-01", "@origine": "JORF" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "
\n
A modifié les dispositions suivantes :

- Code de la santé publique
\n Sct. Section 2 : Situations sanitaires exceptionnelles, Sct. Sous-section 1 : Dispositif “ ORSAN ”, Sct. Sous-section 2 : Missions des établissements de référence pour les situations sanitaires exceptionnelles, Sct. Sous-section 3 : Plan de gestion des tensions hospitalières et des situations sanitaires exceptionnelles, Sct. Sous-section 4 : Dispositifs de renfort\n
\n

\n
\n
A créé les dispositions suivantes :

- Code de la santé publique
Sct. Sous-section 5 : Dispositions particulières applicables au service de santé des armées, Sct. Sous-section 6 : Système d'information nécessaire à l'identification et au suivi des victimes\n
\n

\n
\n
A modifié les dispositions suivantes :

- Code de la santé publique
\n Art. R3131-10-1, Art. R3131-14-10, Art. R3131-10-2, Art. R3131-14-11, Art. R3131-10-3, Art. R3131-14-12, Art. R3131-10-4, Art. R3131-14-13, Art. R3131-10-5, Art. R3131-14-14\n
\n

\n
\n
A modifié les dispositions suivantes :

- Code de la santé publique
\n Art. R3131-4, Art. R3131-5, Art. R3131-6, Art. R3131-7, Art. R3131-8, Art. R3131-9, Art. R3131-10, Art. R3131-11, Art. R3131-12, Art. R3131-13, Art. R3131-14\n
\n

\n
\n
A créé les dispositions suivantes :

- Code de la santé publique
\n Sct. Paragraphe 1 : Dispositions générales, Sct. Paragraphe 1 : Plan zonal de mobilisation, Sct. Paragraphe 2 : Articulation avec le dispositif opérationnel Orsec, Sct. Paragraphe 2 : Appel aux professionnels de santé\n
\n

\n
\n
A créé les dispositions suivantes :

- Code de la santé publique
\n Art. R3131-14-6, Art. R3131-14-2, Art. R3131-14-1, Art. R3131-14-7, Art. R3131-14-3, Art. R3131-14-8, Art. R3131-14-4, Art. R3131-14-9, Art. R3131-14-5\n
\n

\n
\n
A modifié les dispositions suivantes :

- Code de la santé publique
\n Art. R3131-14-11, Art. R3131-14-12, Art. R3131-14-13\n
\n

\n
" } }, "LEGIARTI000048882618": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R3131-14-8", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2024-01-06" } }, "META_COMMUN": { "ID": "LEGIARTI000048882618", "URL": "article/LEGI/ARTI/00/00/48/88/26/LEGIARTI000048882618.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "LEGIARTI000048882212", "@num": "1", "#text": "Décret n°2024-8 du 3 janvier 2024 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000048851655", "@nortexte": "SPRP2324370D", "@numtexte": "2024-8", "@typelien": "CREE", "@naturetexte": "DECRET", "@datesignatexte": "2024-01-03" }, { "@id": "LEGIARTI000048882616", "@num": "R3131-14-7", "#text": "Code de la santé publique - art. R3131-14-7", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000048882310", "@fin": "2999-01-01", "#text": "Sous-section 5 : Dispositions particulières applicables au service de santé des armées", "@debut": "2024-01-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006190468", "@fin": "2016-10-09", "#text": "Section 2 : Plan blanc d'établissement", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000033223194", "@fin": "2024-01-06", "#text": "Section 2 : Situation sanitaire exceptionnelle", "@debut": "2016-10-09" }, { "@id": "LEGISCTA000048889573", "@fin": "2999-01-01", "#text": "Section 2 : Situations sanitaires exceptionnelles", "@debut": "2024-01-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178568", "@fin": "2020-03-28", "#text": "Chapitre Ier : Mesures d'urgences", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766005", "@fin": "2999-01-01", "#text": "Chapitre Ier : Menaces sanitaires", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006160976", "@fin": "2020-03-28", "#text": "Titre III : Menaces sanitaires graves", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766007", "@fin": "2999-01-01", "#text": "Titre III : Menaces et crises sanitaires graves", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145476", "@fin": "2999-01-01", "#text": "Livre Ier : Lutte contre les maladies transmissibles", "@debut": "2003-05-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132385", "@fin": "2999-01-01", "#text": "Troisième partie : Lutte contre les maladies et dépendances", "@debut": "2003-05-27" } ] }, "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": "LEGIARTI000048882618", "@fin": "2999-01-01", "@num": "R3131-14-8", "@etat": "VIGUEUR", "@debut": "2024-01-06", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

Le plan mentionné à l'article R. 3131-14-7 est mis en œuvre par le médecin-chef de l'hôpital des armées, sur décision du ministre de la défense ou de l'autorité militaire compétente, à la demande du préfet.

Le directeur général de l'agence régionale de santé et le service d'aide médicale urgente (SAMU) territorialement compétent sont informés du déclenchement du plan de gestion des tensions hospitalières et des situations sanitaires exceptionnelles.

" } }, "LEGIARTI000048889629": { "META": { "META_SPEC": { "META_ARTICLE": { "NUM": "R3131-10", "ETAT": "VIGUEUR", "TYPE": "AUTONOME", "DATE_FIN": "2999-01-01", "DATE_DEBUT": "2024-01-06" } }, "META_COMMUN": { "ID": "LEGIARTI000048889629", "URL": "article/LEGI/ARTI/00/00/48/88/96/LEGIARTI000048889629.xml", "NATURE": "Article", "ORIGINE": "LEGI" } }, "LIENS": { "LIEN": [ { "@id": "JORFTEXT000000412528", "#text": "Décret n°2003-462 du 21 mai 2003", "@sens": "source", "@cidtexte": "JORFTEXT000000412528", "@nortexte": "SANP0321523D", "@numtexte": "2003-462", "@typelien": "CODIFICATION", "@naturetexte": "DECRET", "@datesignatexte": "2003-05-21" }, { "@id": "LEGIARTI000025585243", "@num": "2", "#text": "Arrêté du 13 mars 2009 - art. 2 (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000020398786", "@nortexte": "SASH0904823A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2009-03-13" }, { "@id": "LEGIARTI000028885519", "#text": "Arrêté du 21 mars 2013 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000027275665", "@nortexte": "AFSH1307681A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2013-03-21" }, { "@id": "LEGIARTI000030561990", "#text": "ARRÊTÉ du 30 avril 2015 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000030558910", "@nortexte": "AFSH1510674A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2015-04-30" }, { "@id": "LEGIARTI000032858795", "#text": "Arrêté du 28 juin 2016 - art. (Ab)", "@sens": "cible", "@cidtexte": "JORFTEXT000032855230", "@nortexte": "AFSH1618018A", "@typelien": "CITATION", "@naturetexte": "ARRETE", "@datesignatexte": "2016-06-28" }, { "@id": "LEGIARTI000048882212", "@num": "1", "#text": "Décret n°2024-8 du 3 janvier 2024 - art. 1", "@sens": "cible", "@cidtexte": "JORFTEXT000048851655", "@nortexte": "SPRP2324370D", "@numtexte": "2024-8", "@typelien": "MODIFIE", "@naturetexte": "DECRET", "@datesignatexte": "2024-01-03" }, { "@id": "LEGIARTI000006687873", "@num": "L3131-7", "#text": "Code de la santé publique - art. L3131-7", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006911688", "@num": "R3110-10", "#text": "Code de la santé publique - art. R3110-10 (T)", "@sens": "source", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDANCE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000006911688", "@num": "R3110-10", "#text": "Code de la santé publique - art. R3110-10 (T)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CONCORDE", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000026916619", "@num": "R3131-10-1", "#text": "Code de la santé publique - art. R3131-10-1 (Ab)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889682", "@num": "R3131-11", "#text": "Code de la santé publique - art. R3131-11 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048882616", "@num": "R3131-14-7", "#text": "Code de la santé publique - art. R3131-14-7 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000048889724", "@num": "R3131-16", "#text": "Code de la santé publique - art. R3131-16 (V)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" }, { "@id": "LEGIARTI000049774305", "@num": "R3821-13", "#text": "Code de la santé publique - art. R3821-13 (VD)", "@sens": "cible", "@cidtexte": "LEGITEXT000006072665", "@typelien": "CITATION", "@naturetexte": "CODE", "@datesignatexte": "2999-01-01" } ] }, "CONTEXTE": { "TEXTE": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TM": { "TITRE_TM": [ { "@id": "LEGISCTA000033217281", "@fin": "2024-01-06", "#text": "Sous-section 3 : Plan départemental de mobilisation", "@debut": "2016-10-09" }, { "@id": "LEGISCTA000048889564", "@fin": "2999-01-01", "#text": "Sous-section 3 : Plan de gestion des tensions hospitalières et des situations sanitaires exceptionnelles", "@debut": "2024-01-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006190468", "@fin": "2016-10-09", "#text": "Section 2 : Plan blanc d'établissement", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000033223194", "@fin": "2024-01-06", "#text": "Section 2 : Situation sanitaire exceptionnelle", "@debut": "2016-10-09" }, { "@id": "LEGISCTA000048889573", "@fin": "2999-01-01", "#text": "Section 2 : Situations sanitaires exceptionnelles", "@debut": "2024-01-06" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006178568", "@fin": "2020-03-28", "#text": "Chapitre Ier : Mesures d'urgences", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766005", "@fin": "2999-01-01", "#text": "Chapitre Ier : Menaces sanitaires", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006160976", "@fin": "2020-03-28", "#text": "Titre III : Menaces sanitaires graves", "@debut": "2007-08-28" }, { "@id": "LEGISCTA000041766007", "@fin": "2999-01-01", "#text": "Titre III : Menaces et crises sanitaires graves", "@debut": "2020-03-28" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006145476", "@fin": "2999-01-01", "#text": "Livre Ier : Lutte contre les maladies transmissibles", "@debut": "2003-05-27" } ] }, "TITRE_TM": [ { "@id": "LEGISCTA000006132385", "@fin": "2999-01-01", "#text": "Troisième partie : Lutte contre les maladies et dépendances", "@debut": "2003-05-27" } ] }, "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": "LEGIARTI000006912062", "@fin": "2013-01-10", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2007-08-28", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000026917953", "@fin": "2016-10-09", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2013-01-10", "@origine": "LEGI" } }, { "@etat": "MODIFIE", "LIEN_ART": { "@id": "LEGIARTI000033223147", "@fin": "2024-01-06", "@num": "R3131-10", "@etat": "MODIFIE", "@debut": "2016-10-09", "@origine": "LEGI" } }, { "@etat": "VIGUEUR", "LIEN_ART": { "@id": "LEGIARTI000048889629", "@fin": "2999-01-01", "@num": "R3131-10", "@etat": "VIGUEUR", "@debut": "2024-01-06", "@origine": "LEGI" } } ] }, "BLOC_TEXTUEL": { "CONTENU": "

I.-Le plan de gestion des tensions hospitalières et des situations sanitaires exceptionnelles mentionné à l'article L. 3131-7 prend en compte les objectifs opérationnels fixés dans le dispositif “ ORSAN ”.

Ce plan est organisé selon deux niveaux de réponse :

1° Le niveau intitulé “ Plan de mobilisation interne ” pour la gestion des tensions hospitalières ;

2° Le niveau intitulé “ Plan blanc ” pour la gestion des situations sanitaires exceptionnelles.

II.-Le plan mentionné au premier alinéa du I contient notamment :

1° Les modalités d'organisation de la cellule de crise hospitalière ;

2° Les procédures de gestion des événements ;

3° Les modalités de continuité de l'activité de l'établissement ;

4° Les modalités de mise en œuvre de ses dispositions et de leur levée ;

5° Le recensement des moyens de réponse en particulier des produits de santé et des médicaments ainsi que les modalités d'organisation et de déploiement, adaptés à chacun des plans de réponse du dispositif “ ORSAN ” ;

6° Le plan de formation des personnels et professionnels de santé de l'établissement aux situations sanitaires exceptionnelles.

III.-Le plan mentionné au premier alinéa du I est arrêté par le directeur de l'établissement, après avis :

1° Du directoire pour les établissements publics de santé ou de l'organe de direction pour les établissements de santé privés ;

2° De la commission médicale d'établissement pour les établissements publics de santé ou de l'instance équivalente pour les établissements de santé privés ;

3° Du comité technique d'établissement pour les établissements publics de santé ou de l'instance équivalente pour les établissements de santé privés.

Le directeur informe le conseil de surveillance pour les établissements publics de santé ou l'instance équivalente pour les établissements de santé privés des dispositions du plan mentionné au I.

IV.-Le plan mentionné au premier alinéa du I est transmis au directeur général de l'agence régionale de santé et au service d'aide médicale urgente (SAMU) territorialement compétent.

V.-Le plan mentionné au premier alinéa du I est évalué, notamment sur la base d'exercices, et révisé chaque année. Son évaluation et sa révision font l'objet d'une présentation aux instances compétentes des établissements de santé.

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Article R3131-14-7 AUTONOME VIGUEUR, en vigueur depuis le 06/01/2024 (Code de la santé publique)