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boundary="----=_NextPart_001_0006_01DD2EF8.6270CE30" ------=_NextPart_001_0006_01DD2EF8.6270CE30 Content-Type: text/plain; charset="utf-8" Content-Transfer-Encoding: 8bit Tähelepanu! Tegemist on välisvõrgust saabunud kirjaga. Tundmatu saatja korral palume linke ja faile mitte avada. Saatja: Ave Liina Antonik Saatmisaeg: esmaspäev, 17. august 2026 18:05 Adressaat: 'pille.saar@sm.ee' Koopia: Marilin Prants Teema: Tagasiside Vabariigi Valitsuse ja ministri määruste muutmise eelnõudele (patsiendi elulõpu tahteavaldus) Tere Edastame TEHIKu täpsustused ja kommentaarid määruse nr 56 „Tervishoiuteenuse osutamise dokumenteerimise tingimused ja kord“ muutmise eelnõu kohta, eesmärgiga muuta protsessid tehniliselt selgemaks: § 106²⁰ lg 1 – Eelnõus on märgitud, et isikul on õigus elulõpu tahteavaldust (PET) muuta. Juhime tähelepanu, et tehniliselt ei ole võimalik juba kinnitatud dokumenti otse muuta, kuna korraga saab kehtida vaid üks PET. Praktikas tähendab „muutmine“ vana dokumendi tühistamist ja uue loomist. § 106²⁰ lg 4 ja § 106²¹ lg 4 – Praegune tekst kohustab arsti märkima nõustamise tulemuse ambulatoorsesse epikriisi. SOMiga kokkulepitult on nõustamise tulemus mitte amb.epikriisi märgitav, vaid TISi märgitav (nt. TJTs või TTO enda infosüsteemis tehtav märge). Amb.epikriisi märkimine on arstile vabatahtlik. Ettepanek eemaldada lausest osa, mis määrab, kuhu TISis nõustamise tulemus täpselt märgitakse. § 106²¹ lg 6 – Teadmiseks. Paberil täidetud PET jõustub TIS-i jõudmisel, kuid arstil on lubatud mõjuval põhjusel andmed hiljem sisestada. Sel juhul ei ole paberil täidetud PETi jõustumine kooskõlas TISi sisestamise hetkega. § 106²³ lg 3 – Vajalik on täpsustada, kuidas ja kes digitaliseerib usaldusisiku paberil antud allkirja. Isikul võib tekkida praeguse sõnastuse järgi ootus, et kui usaldusisik pani tema TISis täidetud PETile omakäelise allkirja, siis isik saab selle kuidagi ise PETile lisada või märkida. § 106²³ lg 5 ja 6 – Vajab selgitust, kas ja millised tähtajad kehtivad usaldusisikule digiallkirja andmiseks siis, kui PET on koostatud paberil. Täpsustavate küsimuste korral pöörduda TEHIKu tooteomanik Marilin Prants poole. Lugupidamisega, Ave Liina Antonik õigustiimi juht +372 7943 900 ave.antonik@tehik.ee Usume, et meie töö suudab säästa inimeste aega, et nemad saaksid keskenduda olulisele ------=_NextPart_001_0006_01DD2EF8.6270CE30 Content-Type: text/html; charset="utf-8" Content-Transfer-Encoding: quoted-printable

T=C3=A4helepanu! Tegemist on v=C3=A4lisv=C3=B5rgust saabunud kirjaga.
Tundmatu saatja korral palume linke ja faile mitte = avada.

 

 

Saatja: Ave Liina Antonik
Saatmisaeg: esmasp=C3=A4ev, 17. august 2026 18:05
Adressaat: 'pille.saar@sm.ee' <pille.saar@sm.ee>
Koopia: Marilin Prants <marilin.prants@tehik.ee>
Teema: Tagasiside Vabariigi Valitsuse ja ministri = m=C3=A4=C3=A4ruste muutmise eeln=C3=B5udele (patsiendi elul=C3=B5pu = tahteavaldus)

 

Tere

 

Edastame TEHIKu = t=C3=A4psustused ja kommentaarid m=C3=A4=C3=A4ruse nr 56 = =E2=80=9ETervishoiuteenuse osutamise dokumenteerimise tingimused ja = kord=E2=80=9C muutmise eeln=C3=B5u kohta, eesm=C3=A4rgiga muuta = protsessid tehniliselt selgemaks:

 

 

=C2=A7 = 106=C2=B2=E2=81=B0 lg 1 =E2=80=93 Eeln=C3=B5us on m=C3=A4rgitud, et = isikul on =C3=B5igus elul=C3=B5pu tahteavaldust (PET) muuta. Juhime = t=C3=A4helepanu, et tehniliselt ei ole v=C3=B5imalik juba kinnitatud = dokumenti otse muuta, kuna korraga saab kehtida vaid =C3=BCks PET. Praktikas t=C3=A4hendab = =E2=80=9Emuutmine=E2=80=9C vana dokumendi t=C3=BChistamist ja uue = loomist.

 

=C2=A7 = 106=C2=B2=E2=81=B0 lg 4 ja =C2=A7 106=C2=B2=C2=B9 lg 4 =E2=80=93 = Praegune tekst kohustab arsti m=C3=A4rkima n=C3=B5ustamise tulemuse = ambulatoorsesse epikriisi. SOMiga kokkulepitult on n=C3=B5ustamise = tulemus mitte amb.epikriisi m=C3=A4rgitav, vaid TISi m=C3=A4rgitav (nt. TJTs v=C3=B5i TTO enda infos=C3=BCsteemis = tehtav m=C3=A4rge). Amb.epikriisi m=C3=A4rkimine on arstile vabatahtlik. = Ettepanek eemaldada lausest osa, mis m=C3=A4=C3=A4rab, kuhu TISis = n=C3=B5ustamise tulemus t=C3=A4pselt m=C3=A4rgitakse. =  

 

=C2=A7 = 106=C2=B2=C2=B9 lg 6 =E2=80=93 Teadmiseks. Paberil t=C3=A4idetud PET = j=C3=B5ustub TIS-i j=C3=B5udmisel, kuid arstil on lubatud m=C3=B5juval = p=C3=B5hjusel andmed hiljem sisestada. Sel juhul ei ole paberil = t=C3=A4idetud PETi j=C3=B5ustumine koosk=C3=B5las TISi sisestamise hetkega.

 

=C2=A7 = 106=C2=B2=C2=B3 lg 3 =E2=80=93 Vajalik on t=C3=A4psustada, kuidas ja kes = digitaliseerib usaldusisiku paberil antud allkirja. Isikul v=C3=B5ib = tekkida praeguse s=C3=B5nastuse j=C3=A4rgi ootus, et kui usaldusisik = pani tema TISis t=C3=A4idetud PETile omak=C3=A4elise allkirja, siis isik saab selle = kuidagi ise PETile lisada v=C3=B5i m=C3=A4rkida.

 

=C2=A7 = 106=C2=B2=C2=B3 lg 5 ja 6 =E2=80=93 Vajab selgitust, kas ja millised = t=C3=A4htajad kehtivad usaldusisikule digiallkirja andmiseks siis, kui = PET on koostatud paberil.

 

 

T=C3=A4psustavate = k=C3=BCsimuste korral p=C3=B6=C3=B6rduda TEHIKu tooteomanik Marilin = Prants poole.

 

Lugupidamisega,=

 

Ave Liina Antonik

=C3=B5igustiimi juht

+372 7943 900

ave.antonik@tehik.ee

 

Usume, et meie t=C3=B6=C3=B6 suudab = s=C3=A4=C3=A4sta inimeste aega, et nemad saaksid keskenduda olulisele

 

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