Joint Circular No. 16/2016/TTLT-BYT-BQP stipulates the health examination for performing military service obligations

JOINT CIRCULAR

REGULATIONS ON MEDICAL EXAMINATIONS FOR PERFORMING MILITARY SERVICE OBLIGATIONS

Pursuant to the Military Service Law 2015;

Pursuant to Decree No. 63/2012/NĐ-CP dated August 31, 2012 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Health;

Pursuant to Decree No. 35/2013/NĐ-CP dated April 22, 2013, issued by the Government, stipulating the functions, tasks, powers, and organizational structure of the Ministry of National Defense;

At the proposal of the Director of the Department of Medical Examination and Treatment - Ministry of Health and the Director of the Department of Military Medicine - Ministry of National Defense, - Ministry of National Defense,

The Minister of Health and the Minister of National Defense issue this Joint Circular regulating medical examinations for performing military service obligations.

PART I

GENERAL PROVISIONS

Article 1. Scope of Regulation and Applicability

1. This Joint Circular (hereinafter referred to as the Circular) regulates medical examinations for performing military service obligations, including: health check-ups, preliminary health screenings, medical examinations, re-examinations, health appraisals, health management, and health classification for male citizens of Vietnam within the age range eligible for conscription, reserve military personnel, and citizens registering to take the military recruitment examination.

2. This Circular applies to:

a) Male citizens of Vietnam within the age range eligible for conscription, reserve military personnel, and citizens registering to take the military recruitment examination;

b) Military authorities at all levels, health agencies, and military medical units at all levels;

c) Agencies, units, organizations, and individuals related to medical examinations for performing military service obligations.

Article 2. Interpretation of Terms

In this Circular, the following terms are understood as follows:

1. Health check-up for military service obligations is the process of conducting health checks, classifying, and concluding on the health status of reserve military personnel.

2. Preliminary health screening for military service obligationsdevelopmentconcerning military service fitness, is the process of conducting initial health checks and evaluations for citizens called for medical examinations for performing military service obligations before each recruitment and conscription period.

3. Medical examination for military service obligations is the process of conducting medical examinations, classifying, and concluding on the health status of citizens called for military service obligations who have passed the preliminary health screening and citizens registering to take the military recruitment examination, carried out by the Military Service Obligation Medical Examination Board at the district level.

4. Military Service Obligation Medical Examination Board is a specialized board operating on a part-time basis established by the Chairman of the People's Committee of the district upon the proposal of the District Health Office; each district may establish from one to two boards depending on the area and number of citizens to be examined.

5. Re-examination of health for military service obligations is the process of conducting re-medical examinations, classifying, and concluding on the health status of new recruits joining the military, carried out by the Medical Examination Board of the unit receiving the recruits.

6. Re-examination Medical Examination Board organize credit institutions, foreign bank branches are responsible for organizing the implementation of this Circular.is a specialized board operating on a part-time basis established by the Unit Commander (at regiment level and above) upon the proposal of the Unit Chief Medical Officer. Determination of health for military service obligations

7. uilding vJune 2024;defining military service fitness, is the process of using means, techniques, and expertise to examine and conclude on the health status of citizens called for military service obligations, citizens registering to take the military recruitment examination, and reserve military personnel in cases of complaints.

8. Hồ Summary of health for military service obligations is documentation regarding the health condition of citizens called for military service obligations, citizens registering to take the military recruitment examination, and reserve military personnel, including the Military Service Obligation Health Record and other relevant health documents.

9. Military Service Obligation Health Record is a medical document summarizing basic information about the health status of citizens performing military service obligations.

Article 3. Funding for the implementation of military service health examinations

The funding to ensure health examinations, preliminary health screenings, health checks, health appraisals, and conducting tests for citizens fulfilling their military service obligations shall be sourced from local budgets allocated for defense and security work according to current regulations. The consumption material quotas and funding for health check activities and military service health examinations shall be implemented in accordance with the provisions set out in Appendix 2 attached hereto.

Chapter II

HEALTH EXAMINATIONS FOR MILITARY SERVICE OBLIGATIONS

Article 4. Military service health checks

1. Health check team

a) The health check team shall be established by the District Health Center, County Health Center, City Health Center under a provincial city, or Central City (hereinafter referred to collectively as the County Health Center) through a decision issued by such center. The health check team shall consist of at least three members: one doctor serving as the team leader and two other healthcare personnel from the commune health station, who may be mobilized from the County Health Center when necessary;

b) The health check team shall be responsible for organizing health checks, issuing health check forms, and compiling and reporting results in accordance with the regulations.

2. Content of health checks

a) Physical fitness assessment;

b) Pulse and blood pressure measurement;

c) Diagnosis of internal medicine, surgery, and specialty diseases;

d) Collection of personal and family medical history.

3. Health check procedures

a) Based on the local military's reserve training plan, compile a list of individuals to be summoned for reserve training within the assigned management area;

b) Announce the time and location for organizing health checks;

c) Issue military service health check forms according to Model 1 of Appendix 4 attached hereto;

d) Conduct health checks according to the contents stipulated in Clause 2 of this Article;

đ) Compile, aggregate, and report health check results according to Models 1a and 5a of Appendix 5 attached hereto.

Article 5. Preliminary health screening for military service obligations

1. Preliminary health screening shall be conducted by the Commune Health Station under the professional guidance of the County Health Center.

2. Content of preliminary health screening

a) Identify cases where physical strength, deformities, abnormalities, and certain diseases that qualify for exemption from military service registration are insufficient;

b) Collect personal and family medical history.

3. Preliminary health screening procedures

a) Based on the local military recruitment and call-up plan, compile a list of citizens within the assigned management area who need to undergo health examinations for military service obligations;

b) Conduct preliminary health screenings according to the contents stipulated in Clause 2 of this Article;

c) Complete and confirm personal medical history and information of citizens called up for military service health examinations in accordance with Section I of Model 2 of Appendix 4 attached hereto;

d) Compile a list of citizens suffering from diseases listed in the Exemption from Military Service Diseases Directory in Table 3 of Appendix 1 attached hereto, and report to the Commune Military Service Council;

đ) Compile, aggregate, and report preliminary health screening results according to Models 2 and 5b of Appendix 5 attached hereto.

Article 6. Military Service Physical Examination

1. Military Service Physical Examination Board

a) Composition of the Military Service Physical Examination Board

- The Military Service Physical Examination Board at the district level includes: doctors, medical staff from the District Health Center, specialized officers from the Health Department, military medical personnel from the Military Command Board of the district, and related units.

- The composition of the Military Service Physical Examination Board includes:

+ 01 Chairman: to be assumed by the Director of the District Health Center;

+ 01 Vice-Chairman: Deputy director responsible for specialized matters;

+ 01 Permanent Member and Secretary of the Board to be assumed by a specialized officer from the Health Department;

+ Other members.

- The number of Board members depends on specific conditions of each locality but must ensure sufficient quantity and qualification to conduct physical examinations as prescribed in Clause 2, with complete departments as stipulated in Clause 5 of this Article, including a minimum of 3 to 5 doctors. Internal medicine and surgery examinations must be conducted by internal medicine and surgery doctors respectively; other specialties may be handled by doctors or medical technicians specializing in those fields.

b) Principles of Operation of the Military Service Physical Examination Board

- The Board operates based on collective principles, deciding issues by majority rule;

- In cases where Board members do not agree on classification and health conclusions, the Chairman records the conclusion according to the majority opinion on the health record. In case of a tie vote, the decision follows the side with the Chairman's vote. Dissenting opinions must be fully recorded in the minutes, signed by each member of the Board, and sent to the Military Service Board of the district.

c) Responsibilities of the Military Service Physical Examination Board

- To be responsible before the Military Service Board of the district for implementing physical examinations, classifying, and concluding health status for each citizen called up for military service;

- To compile and report examination results to the Military Service Board of the district and the Provincial Department of Health (hereinafter referred to as the province) as prescribed; hand over all health records to the Military Service Board of the district (through the District Health Department);

d) Responsibilities of Members of the Military Service Physical Examination Board

- Chairman of the Board:

+ To oversee all activities of the Board; to be responsible before the Military Service Board of the district for the quality of physical examinations for citizens subject to military service;

+ To disseminate and publicize the plan for military service physical examinations; to guide standards for health, responsibilities, tasks, working principles, and specific assignments for members of the Military Service Physical Examination Board;

+ To convene and chair meetings of the Board to conclude on cases where there are dissenting opinions regarding health conclusions;

+ To organize consultations and issue referral letters for citizens undergoing military service physical examinations to undergo further checks at healthcare facilities when necessary;

+ To directly classify health status and sign the military service health record;

+ To organize meetings to review military service physical examination work and report to the Military Service Board of the district.

- Vice-Chairman of the Board:

+ To represent the Chairman in his absence;

+ To directly conduct physical examinations and participate in consultations when necessary;

+ To participate in meetings of the Military Service Physical Examination Board.

- Permanent Member and Secretary of the Board:

+ To prepare budgets, medications, and consumables for military service physical examination work; to settle accounts;

+ To prepare equipment, infrastructure, health records, and other necessary documents for the Military Service Physical Examination Board to operate; to participate in meetings of the Military Service Physical Examination Board;

+ To participate in physical examinations and consultations when necessary;

+ To register, compile statistics, and assist the Chairman in reporting to the Military Service Board of the district and the Provincial Department of Health according to Model 3a and Model 5c of Appendix 5 issued together with this Circular.

- Board Members:

+ To directly conduct physical examinations and participate in consultations when necessary;

+ To be responsible for the quality of examinations and health conclusions within their assigned scope;

+ To participate in meetings of the Military Service Physical Examination Board when convened.

2. Content of health examinations

a) Conduct physical strength examinations; clinical specialty examinations according to criteria specified in Section II, Form 2 of Appendix 4 issued together with this Circular; during the examination process, if a citizen being examined has a specialty score of 5 or 6, the examining doctor of that specialty is responsible for reporting to the Chairman of the Military Service Physical Examination Board for consideration and decision on whether to continue with other specialty examinations;

b) In cases requiring near-clinical tests to support health conclusions as required by the Military Service Physical Examination Board, including drug testing;

c) Classify health status according to the provisions of Article 9 of this Circular.

3. Examination Process

a) Compile a list of citizens eligible for call-up for military service who have passed preliminary health screening in the assigned area;

b) Announce the time and location for organizing physical examinations;

c) Organize physical examinations according to the contents prescribed in Clause 2 of this Article;

d) Organize counseling and HIV testing according to the Law on Prevention and Control of HIV/AIDS for cases meeting annual military service health standards as guided by the Minister of National Defense;

đ) Complete the health record according to the provisions in Section II of Form 2 of Appendix 4 issued together with this Circular;

e) Summarize and report the results of military service physical examinations according to Form 3a of Appendix 5 issued together with this Circular.

4. Time for physical examinations: from November 1st to December 31st every year.

5. Organization of Examination Rooms

a) The arrangement of examination rooms must follow the principle of one-way flow, closed-loop, convenient for examinees, and ensuring minimum conditions for examinations in each specialty.

b) The number of examination rooms is based on the number of medical staff of the Military Service Physical Examination Board and actual circumstances to arrange:

- Physical strength examination room;

- Blood pressure measurement room;

- Vision and eye examination room;

- Hearing and ENT examination room;

- Dental examination room;

- Internal medicine and neurology examination room;

- Surgery and dermatology examination room;

- Laboratory examination room;

- Conclusion room.

In cases where a medical examination for female citizens includes gynecological examinations according to the guidelines set forth in Section IV of Appendix 1 attached hereto.

c) The minimum medical equipment and supplies of the Medical Examination Board according to the list prescribed in Appendix 3 attached hereto.

6. For districts with hospitals, the District General Hospital shall be responsible for performing the tasks stipulated herein.

Article 7. Re-examination of Military Service Health Status

1. The Re-examination Health Examination Board

a) Composition of the Re-examination Health Examination Board, including military medical personnel from regiments and equivalent units. When necessary, the Board may be reinforced with specialized forces from higher-level military medical services;

b) Duties of the Re-examination Health Examination Board

- Organizing and implementing re-examinations, classification, and health conclusions for all new recruits according to the approved plan;

- Compiling and reporting the results of the re-examination of health status.

2. Content of Re-examination of Health Status

a) As prescribed in the regulations on the selection and call-up of citizens for military service by the Ministry of Defense;

b) Classifying health status according to the provisions of Article 9 of this Circular.

3. Procedure for Re-examination of Health Status

a) Announcing the time and place for re-examination of health status;

b) Organizing re-examinations of health status according to the provisions of Clause 2 of this Article; for cases where the health record indicates "T" (temporary), the Re-examination Health Examination Board must conclude:

- If the illness has been cured, remove the "T" and change the health classification;

- If not cured or showing a worsening trend, another examination must be organized and a conclusion made regarding whether the individual is fit or unfit for military service, returning them to their place of origin if unfit.

c) Compiling and reporting the results of the re-examination of health status using Form 4d of Appendix 5 attached hereto.

Article 8. Medical Appraisal of Military Service Health Status

1. The Provincial Medical Appraisal Board shall organize the appraisal of military service health status when there are complaints related to the health of citizens called up for military service, citizens registering for military recruitment exams, and reserve military personnel, as proposed by the Military Service Board at the district level.

2. Requirements for Appraisal: Appraising the state of illness as requested by the Military Service Board at the district level; the appraisal conclusion must clearly determine the state of illness and classify health status according to Table 1, Table 2, and Table 3 in Appendix 1 attached hereto.

3. Within 7-10 working days from the date of receipt of complete files requesting health status appraisal, the Provincial Medical Appraisal Board must issue an appraisal conclusion on the health status of citizens performing military service and send the file and appraisal results to the Military Service Board at the district level.

4. The decision of the Provincial Medical Appraisal Board is the final conclusion on health complaints of citizens performing military service and military recruitment.

Article 9. Classification of Health Status for Performing Military Service

1. Basis for Classification of Health Status

According to the health standards in Table 1, Table 2, and Table 3 of the Appendix attached hereto.

2. Scoring method

Each criterion, after examination, the doctor will score an even number from 1 to 6 in the "Score" column; specifically:

a) Score 1: Only excellent health condition;

b) Score 2: Only good health condition;

c) Score 3: Only fairly good health condition;

d) Score 4: Only average health condition;

đ) Score 5: Only poor health condition;

e) Score 6: Only very poor health condition.

3. Method of Recording the Military Service Health Record

a) Each specialty, after examination, the doctor will score in the "Score" column; in the "Reason" column, a summary of the reason for the score must be recorded; in the "Signature" column, the examining doctor must sign and write their full name;

b) In the conclusion section, the Chairman of the Health Examination Board bases on the scores given for each criterion to conclude and classify health status according to the correct regulations, recording it in both numerical and textual form (the textual part is enclosed in parentheses);

c) The Chairman of the Health Examination Board is responsible for signing the Military Service Health Record after concluding;

d) The signature of the Chairman of the Health Examination Board is stamped by the authority of the Chairman; the signature of the Chairman of the Re-examination Health Examination Board is stamped by the unit that established the Re-examination Health Examination Board.

4. Method of Classifying Health Status

Based on the scores given for the 8 criteria listed in the Military Service Health Record to classify, specifically as follows:

a) Class 1: All 8 criteria score 1 point;

b) Category 2: At least one criterion scores 2;

c) Category 3: At least one criterion scores 3;

d) Category 4: At least one criterion scores 4;

đ) Category 5: At least one criterion scores 5;

e) Class 6: At least one criterion scores 6 points.

5. Some Points to Note

a) In cases where acute diseases are present, which may improve or worsen over time or after treatment, the score must be accompanied by the letter "T" next to it (meaning "temporary"). The examiner must briefly record the name of the disease in Vietnamese next to it (which can be written in international terms between parentheses). When concluding, if the "T" is next to the highest scoring criterion, "T" must be written in the health classification section;

b) In cases where there is doubt and immediate scoring cannot be done, the Health Examination Board may refer the citizen to a hospital for a more accurate conclusion;

c) In cases where a conclusion cannot be reached, refer the citizen to the nearest specialist hospital for examination and diagnosis. The maximum time for a conclusion is 7-10 days and this should only be done when necessary;

d) For cases where the health record indicates "T", the Military Service Health Examination Board is responsible for guiding the citizen to healthcare facilities for treatment.

Article 10. Requirements for citizens when undergoing health check-ups, preliminary screenings, and physical examinations for military service obligations

1. Must present

a) The call-up order for health examination or health inspection issued by the Chairman of the Military Command Board of the district;

b) Identity card;

c) Personal health-related documents (if any) to be handed over to the Health Examination Board or the Military Service Obligation Health Inspection Team.

2. Abstain from consuming alcohol, beer, or stimulants.

3. Adhere to the regulations of the health examination area and health inspection area.

4. Prohibit any actions exploiting health examinations to evade or avoid fulfilling military service obligations.

Chapter III

MILITARY SERVICE HEALTH RECORD AND RESERVE SOLDIER HEALTH MANAGEMENT

Article 11. Military Service Health Record

1. Content of the Military Service Health Record

a) Part I - Brief Curriculum Vitae and Medical History:

- Part I - Brief Personal History, recorded by the Military Command Board of the commune;

- Medical history: recorded by the Commune Health Station and responsible for its accuracy.

b) Part II - Health Examination: recorded by the Military Service Obligation Health Examination Board of the district on the left half and by the Health Examination Review Board of the military unit on the right half.

2. Management of the Military Service Health Record

a) Before enlistment, the Military Service Health Record is managed by the Military Command Board of the district;

b) Upon enlistment, the Military Service Health Record is transferred to the receiving military unit for management at the division-level medical department and equivalent units;

c) After discharge, it is returned to the management of the Military Command Board of the district.

3. The Military Service Health Record is valid only if:

a) It conforms to the prescribed model;

b) Written with ink pen or ballpoint pen, not with pencil;

c) Writing is clear, without erasures or abbreviations;

d) All contents required in the Military Service Health Record are fully recorded;

đ) Not exceeding six months from the date the Military Service Obligation Health Examination Board concludes on the health status, except in cases of special health developments.

Article 12. Transfer of Military Service Health Records for Enlisted Citizens

1. Prior to the Military Service Board of the district issuing the call-up order for citizen enlistment, the District Health Department must complete the list of eligible citizens according to the regulations, finalize the Military Service Health Record, and hand it over to the Military Command Board of the district.

2. Based on the agreement plan between the receiving unit and the local authority, the Military Command Board of the district transfers the Military Service Health Records of qualified citizens to the medical department of the receiving unit.

3. The medical department of the receiving unit organizes a review of the health records of newly enlisted citizens. In case of any doubts about their health, they propose that the Military Service Board of the district re-examine and conclude.

4. Summarize and report the results according to the form attached in Appendix 5 of this Circular (localities transferring troops use Form 4a, 4b; medical departments of receiving units use Form 4c).

5. The receiving unit must organize a health re-examination for new recruits immediately upon their arrival at the unit to classify and re-conclude on their health status, identify those who are not fit for service and return them to their place of origin, and have the responsibility to inform the Military Command Board of the district:

a) Number of citizens meeting the health standards;

b) Number of citizens not meeting the health standards needing to be returned to their place of origin (due to errors in the initial examination or new illnesses arising during the training of new recruits).

6. Regulations on returning citizens not meeting health standards to their place of origin

a) Citizens not meeting health standards are returned to their place of origin when the health re-examination results are confirmed by the Division-level Medical Chief or higher and approved by the direct superior.

b) The health records of citizens not meeting health standards must include the Military Service Health Record of the local Military Service Obligation Health Examination Board with the results and conclusions of the health re-examination board of the unit.

c) Returning citizens not meeting health standards to their place of origin shall be carried out in accordance with the regulations of the Ministry of National Defense. If necessary, the local health authority may organize a re-examination (within 7 to 10 days from the date the unit hands over the citizen not meeting health standards to the locality). In case of disagreement with the conclusion of the health re-examination board of the unit, the Military Service Board of the district will transfer the citizen's file to the Provincial Medical Appraisal Board for health appraisal.

Article 13. Management of the health of reserve military personnel

1. All military personnel before returning to their place of origin (discharge, retirement, transfer to civilian work), the medical unit shall be responsible for organizing health examinations, classifying health status, recording on the military personnel's health form. Upon returning to their place of origin, reserve military personnel within the age limit must submit their health records to the Military Command Board of the district for management.

2. Reserve military personnel shall undergo health checks prior to each concentrated training session according to the plan of the local Military Service Council. Those reserve military personnel who still meet the health standards shall continue to be assigned to reserve mobilization units. In cases where they do not meet the health standards, the District Health Office shall notify in writing to the Military Command Board of the district to remove them from the list of reserve mobilization candidates of the locality.

3. During training sessions and concentrated readiness checks for reserve military personnel, the medical staff of the reserve mobilization units shall closely monitor the health status of the reserve military personnel.

4. When there is a mobilization order, the Military Command Board of the district shall be responsible for transferring all health records of reserve military personnel to the receiving unit for management.

Chapter IV

 DUTIES OF HEALTH AUTHORITIES AT ALL LEVELS IN CONDUCTING HEALTH EXAMINATIONS FOR MILITARY SERVICE OBLIGATION

Article 14. Health stations at commune level

1. Appoint cadres to participate in the Health Examination Team for Military Service Obligation.

2. Organize health examinations, establish health records for citizens subject to military service obligation according to the plan of the local Military Service Council. Manage and monitor the health status of citizens (under management) within the age range for military service obligation, promptly identifying cases of chronic diseases and diseases listed in the exemption from military service registration.

3. Based on the plan of the Commune Military Service Council, coordinate with the Commune Military Command Board to organize preliminary health screenings for citizens called for military service obligation health examinations.

4. After preliminary screening, compile a list of citizens meeting the health standards for military service obligation and those citizens suffering from diseases listed in the Exemption from Military Service Registration Table No. 3 attached as Appendix 1 of this Circular, and report to the Commune Military Service Council.

5. Confirm and take responsibility for the medical history of citizens called for military service obligation and military recruitment examination registration; hand over health records and military service obligation health forms of citizens undergoing health examinations to the Military Service Obligation Health Examination Board of the district.

6. Conduct interim reviews, summaries, and draw lessons learned regarding preliminary health screening and military service obligation health examination work after each selection and call-up of citizens for enlistment or concentrated training of reserve military personnel.

Article 15. District Health Department

1. Advise the People's Committee and the Military Service Council of the district on health examination work for military service obligation.

2. Receive and complete military service obligation health forms of citizens called for military service obligation, compile lists of citizens suffering from diseases exempted from military service obligation reported by the Commune Military Service Council, and submit for consideration and decision by the Military Service Council of the district.

3. Based on the plan for selecting and calling up citizens for enlistment of the Military Service Council of the district, coordinate with the District Health Center to develop plans and budget estimates for health examinations for citizens called for military service obligation and organize implementation.

4. Propose the establishment of the Military Service Obligation Health Examination Board, request the People's Committee of the district to review and issue a decision; report to the Provincial Health Department.

5. Coordinate with the Military Command Board of the district to timely and fully transfer health records of citizens called for enlistment to the receiving unit.

6. Take the lead and coordinate with the Military Command Board of the district to resolve complaints of citizens related to military service obligation health examinations and military recruitment examinations.

7. Take the lead and coordinate with the District Health Center to direct health examinations for reserve military personnel according to the plan of the Military Service Council of the district.

8. Summarize the results of military service obligation health examination work, report to the Military Service Council of the district and the Provincial Health Department according to Model Nos. 1b, 3b, 4a, 5c of Appendix 5 issued together with this Circular.

9. Conduct interim reviews, summaries, and draw lessons learned regarding health examination work for citizens performing military service obligation after each selection and call-up of citizens for enlistment.

Article 16. Health Center of the District

1. Decides to establish the Military Service Health Examination Team for communes.

2. Directs professionally, supervises the implementation of health examinations and preliminary health screenings for military service.

3. Increases professional staff participation in health examinations and preliminary health screenings for military service when requested by communes.

4. Organizes training and capacity building on professional and vocational matters related to health examinations and preliminary health screenings for military service for commune health workers.

5. Takes the lead, coordinates with the District Health Department and the Military Command of the district to develop plans for health examinations for citizens called up for military service and to organize their implementation.

6. Coordinates with the District Health Department to establish the Military Service Health Examination Board; assigns professional staff and medical equipment to participate in the Military Service Health Examination Board for citizens called up for military service within the district.

7. Coordinates with the Military Command of the district to organize health examinations for citizens registering to take the military recruitment examination.

Article 17. District Hospital

For districts with a District Hospital, the District Hospital shall perform the tasks prescribed for the Health Center of the District under Clauses 5, 6, and 7 of Article 16 of this Circular.

Article 18. Provincial Health Department

1. Directs healthcare facilities under its authority:

a) Implement guidance from competent authorities regarding healthcare work in implementing the Law on Military Service;

b) Mobilize forces and means to participate in military service health examinations according to the plan of the Military Service Councils of the districts when requested.

2. Coordinates with the Provincial Military Command:

a) Advise the Provincial Military Service Council to develop plans, direct, and guide district health services to organize and implement health examinations for military service and military recruitment;

b) Organize and coordinate on healthcare matters with units receiving new recruits regarding the transfer and reception of new recruits.

3. Organizes training on professional and vocational matters for healthcare personnel participating in military service health examinations at the district level.

4. Conducts inspections of military service health examinations in localities within the province.

5. Reviews and resolves any issues or complaints about military service health examinations and military recruitment.

6. Reports to the People's Committee of the province and the Ministry of Health the results of military service health examinations according to Model 3c Appendix 5 issued together with this Circular.

7. Implements mid-term reviews, summaries, and lessons learned from military service health examinations following each recruitment and conscription period.

Chapter V

TASKS OF MILITARY AUTHORITIES AT ALL LEVELS IN HEALTH EXAMINATIONS FOR MILITARY SERVICE

Article 19. Military Command of the Commune

1. Takes the lead, coordinates with the Commune Health Station to organize preliminary health screenings; compile lists of citizens who are fit for military service and those with diseases listed in the exemption category for military service registration after preliminary screening, submit these lists to the Commune Military Service Council, report to the District Military Service Council. Complete administrative procedures for the military service health record.

2. Inspects and urges citizens eligible for military service to attend health examinations according to the plan of the District Military Service Council.

3. Announce the results of health examinations according to the conclusion of the District Military Service Health Examination Board. Collect any concerns related to health examinations and the conclusions of military service health status (if any), report to the District Military Command and the District Military Service Council for study and resolution.

Article 20. Military Command Board of the District

1. Coordinate with the Health Office of the District and the Health Center of the District or the District Hospital (as stipulated in Clause 6, Article 6) to develop plans for health examinations for citizens eligible for military service.

2. Summon citizens eligible for military service to attend health examinations or health checks according to the plan of the Military Service Council of the District.

3. Coordinate with relevant county functional agencies to participate in organizing compulsory military service health examinations according to the plan; monitor the quantity and quality of health of citizens from various localities attending the examination.

4. Manage the health records of compulsory military service handed over by the Military Service Health Examination Council until the citizen reaches the age limit for reserve service as prescribed by the Law on Military Service.

5. Take the lead and coordinate with the Health Office of the District to organize the handover of health records of citizens called up for military service to receiving units according to the plan.

6. Take the lead and coordinate with the Health Center of the District or the District Hospital (as stipulated in Clause 6, Article 6) to develop plans and organize health examinations for citizens registering to take the military recruitment exam.

7. Coordinate with the Health Office and related units and functional agencies of the county to resolve complaints related to compulsory military service health examinations and military recruitment.

8. Summarize and report the situation of new recruits being handed over to the Provincial Military Command after each selection and call-up of citizens for military service according to Model 4b Appendix 5 issued together with this Circular.

Article 21. Provincial Military Command

1. Coordinate with the Provincial Department of Health to direct, organize, and supervise the implementation of health examinations for compulsory military service in accordance with the plan of the Provincial Military Service Council.

2. Organize coordination with each receiving unit regarding health standards, quantity, time, location, and method of handing over troops.

3. Direct health examinations for citizens registering to take the military recruitment exam.

4. Coordinate with the Provincial Department of Health to examine and resolve issues and complaints related to compulsory military service health examinations and military recruitment.

5. Summarize and report the results of compulsory military service health examinations and military recruitment as prescribed.

Chapter VI

TASKS OF HEALTH SERVICES AT ALL LEVELS IN CONDUCTING HEALTH EXAMINATIONS FOR COMPULSORY MILITARY SERVICE

Article 22. Health Services of the Military Command Board of the District

1. Proactively grasp the annual health examination plan for compulsory military service in their locality, coordinate with the Health Office of the District to oversee health examination work and check the health of citizens performing military service. Participate in the Military Service Health Examination Council of the District.

2. Coordinate with the military forces of the Military Command Board of the District to grasp the results of health examinations for citizens called up for military service in the district; coordinate with health services of receiving units to check the health records of citizens called up for military service.

3. Participate in health examinations for citizens registering to take the military recruitment exam according to the plan of the Military Recruitment Office of the District.

4. Report the results of compulsory military service health examinations and military recruitment after each selection and call-up of citizens for military service and military recruitment.

Article 23. Military Medical Service of the Provincial Military Command

1. Advise the Provincial Military Command on the work of conducting health examinations for military service obligations and military recruitment.

2. Advise the Provincial Health Department on directing, organizing, and coordinating among health, military, and military medical units to receive citizens performing military service obligations and the work of transferring and receiving military personnel.

3. Coordinate with the Provincial Health Department to examine and resolve issues and complaints regarding the work of conducting health examinations for military service obligations and military recruitment.

4. Report the results of the work of conducting health examinations for military service obligations and military recruitment to the Military Medical Department of the Military Region in accordance with the regulations of the Ministry of National Defense.

Article 24. Military Medical Service of the Military Region

1. Advise the Party Committee and the Command of the Military Region on directing the work of conducting health examinations for military service obligations, military recruitment, and managing the health of reserve military personnel according to the annual plan of the Ministry of National Defense.

2. Coordinate with the Health Departments to direct the work of conducting health examinations for military service obligations and military recruitment.

3. Direct the Military Medical Departments of the provinces in the work of conducting health examinations, health inspections, and health appraisals for military service obligations and military recruitment.

4. For areas facing difficulties in medical personnel, the Director of the Military Medical Service of the Military Region mobilizes military medical staff from the Military Region to participate in the Military Service Obligation Health Examination Board at the request of the Health Department and the Civil-Military Health Boards of the provinces.

5. Report the results of the work of conducting health examinations for military service obligations and military recruitment after each selection and call-up of citizens for military service and military recruitment in accordance with the regulations.

Article 25. General Department of Military Medicine

1. Coordinate with functional agencies under the Ministry of National Defense to advise the Ministry of National Defense on setting health standards for citizens called up for military service for each region, military branches, and direct and guide military medical units to implement these standards.

2. Annually, based on the requirements for building the Army, coordinate with functional agencies to advise the Ministry of National Defense to issue health standards for military recruitment and direct and guide military medical units to implement them.

3. Direct military medical units receiving troops to thoroughly understand the health records of citizens called up for military service and organize follow-up health examinations for new soldiers in accordance with regulations.

4. Direct and organize inspections of the work of conducting health examinations for military service obligations and the transfer and reception of military personnel in key areas.

5. Report the results of the work of conducting health examinations for military service obligations and military recruitment in accordance with regulations.

Chapter VII

IMPLEMENTATION

Article 26. Responsibilities of the Ministry of National Defense

1. Based on the number of citizens called up for military service in a year by the Government and the requirements for building the Army, issue specific regulations on health standards suitable for citizens called up for military service for each region, each military branch, and each arm.

2. Direct military agencies at all levels to be responsible for coordinating with local health agencies in planning and implementing health examinations for citizens eligible for military service obligations, citizens participating in military recruitment exams, and reserve military personnel in accordance with regulations.

3. Functional agencies are responsible for directing and guiding units throughout the military to implement plans for conducting health examinations for military service obligations, military recruitment, and reserve military personnel annually.

4. Units receiving troops are responsible for coordinating with military agencies at all levels and local health agencies to implement the transfer and receipt of military service obligation health certificates for citizens called up for military service in accordance with regulations.

Article 27. Responsibilities of the Ministry of Health

Direct health agencies at all levels to thoroughly understand and implement annual regulations and guidelines issued by the Government, relevant ministries, and sectors regarding the medical examination for military service obligations.

Article 28. Effective Date

1. This Circular takes effect from August 15, 2016.

2. The Joint Circular No. 36/2011/TTLT-BYT-BQP dated October 17, 2011, of the Ministry of Health and the Ministry of National Defense guiding the medical examination for military service obligations shall cease to be effective from the date this Circular takes effect.

During implementation, if there are difficulties or obstacles, it is requested that agencies, organizations, and individuals promptly report them to the Ministry of Health and the Ministry of National Defense for consideration and resolution./.