Decree No. 16/2024/NĐ-CP on medical practitioners and medical facilities for healthcare and treatment under the People's Armed Forces

DECREE

On medical practitioners and medical facilities for examination and treatment under the People's Armed Forces

concerning medical practitioners and medical facilities for examination and treatment under the People's Armed Forces

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Pursuant to the Law on Organization of the Government dated June 19, 2015; the Law Amending and Supplementing Certain Provisions of the Law on Organization of the Government and the Law on Organization of Local Administration dated November 22, 2019;

Pursuant to the Law on Medical Examination and Treatment dated January 9, 2023;

"Based on the proposal of the Minister of National Defense;"

The Government issues this DecreeOn medical practitioners and medical facilities for examination and treatment under the People's Armed Forces.

PART I

GENERAL PROVISIONS

Article 1. Scope of Regulation

This Decree provides for:

1. Medical practitioners; forms of organization of medical facilities for examination and treatment under the People's Armed Forces.

2. Conditions, documents, procedures for issuing, reissuing, extending, amending, revoking medical practice licenses; suspending practice for medical practitioners under the People's Armed Forces.

3. Conditions, documents, procedures for issuing, reissuing, amending, revoking operating permits; suspending operations for medical facilities for examination and treatment under the People's Armed Forces.

4. Practice of examination and treatment within the People's Armed Forces.

5. Professional qualifications in examination and treatment.

6. Evaluation and certification of quality for medical facilities for examination and treatment under the People's Armed Forces.

Article 2. Applicability

This Decree applies to medical practitioners and medical facilities for examination and treatment under the People's Armed Forces, the General Office of Government and related agencies, units, and individuals.

Article 3. Explanation of Terms

2. Self-generated and self-consumed electricity is electricity produced and consumed by an organization or individual to serve their own needs.

1. The health management agency is the agency with the function of advising the Ministry of National Defense, the Ministry of Public Security on state management of health and the tasks stipulated in this Decree.

2. The person responsible for the professional activities of medical facilities for examination and treatment under the People's Armed Forces is the person appointed by the competent authority to hold the position of head of the medical facility; they are responsible under the law for all professional activities of the medical facility.

3. A specialized degree certificate is a document certifying that a student has completed a postgraduate specialized training program in the health field corresponding to the title specified in Clause 1 of Article 23 of the Law on Examination and Treatment.

4. Full-time medical practitioner is a worker who has been issued a medical practice license (including civil servants, public officials, employees, and other workers with labor contracts as prescribed by labor laws) and registers to practice during the entire administrative working hours at the medical facility.

5. Administrative working hours of medical facilities for examination and treatment are the time period determined by the medical facility but not exceeding eight hours per day, publicly announced to handle administrative matters of the medical facility.

6. Working hours of medical facilities for examination and treatment are the time period for conducting examination and treatment activities determined, registered, and recorded in the operating permit issued by the competent authority. The operating hours of medical facilities for examination and treatment include administrative working hours.

7. Local police unit is the provincial police force, municipal police force directly under the central government, and units subordinate to the Ministry of Public Security (including hospitals, academies, and people's police schools).

8. Military medical facility of an agency or unit is a military medical facility without inpatient beds.

9. Health facility of an agency or unit is a medical facility for examination and treatment at battalion, regiment level; health facilities at district, county, town, provincial city, municipal city level under the Public Security; health facilities at department, academy, school, sub-camp, sub-zone, branch, detention center, prison, compulsory education facility, rehabilitation center managed by the Ministry of Public Security; health facilities at fire prevention, firefighting, rescue and traffic patrol, control units.

10. Directly affiliated units under the Ministry of National Defense include: General Staff Department; Political Bureau and various General Departments; Military Regions; Corps; Arms; Armies; Commands: Border Guard Force, Vietnam Coast Guard, Ho Chi Minh Mausoleum Guard, Hanoi Capital Guard, Command 86; Academies and Schools directly under the Ministry of National Defense; General Office of Government; Hospitals directly under the Ministry of National Defense; Vietnam-Russia Tropical Center; Institute of Science and Technology of the Military; enterprises directly under the Ministry of National Defense.

Article 4. Medical practitioners and forms of organization of medical facilities

1. Medical practitioners working at medical facilities under the people's armed forces include:

a) Individuals who must have a practice permit as prescribed in Clause 1 of Article 26 of the Law on Medical Examination and Treatment;

b) Nurses from units of the people's armed forces may participate in medical examination and treatment activities without needing a practice permit as stipulated in Clause 2 of Article 19 of the Law on Medical Examination and Treatment.

2. Forms of organization of medical facilities under the people's armed forces include:

a) General hospitals, specialized hospitals, branch institutes, research institutes with beds (hereinafter referred to collectively as hospitals);

b) Health stations, treatment teams, transport ships with medical services, military medical ships, research centers with beds, rehabilitation centers with beds, health centers with beds (hereinafter referred to collectively as health stations);

c) Outpatient clinics of agencies and units at battalion level and above, military-civilian outpatient clinics (hereinafter referred to collectively as general outpatient clinics);

d) Specialized outpatient clinics, physician outpatient clinics, traditional medicine outpatient clinics, consultation and preventive treatment outpatient clinics, occupational disease treatment outpatient clinics of agencies and units at battalion level and above (hereinafter referred to collectively as specialized outpatient clinics);

đ) Military medical teams, health teams of agencies and units;

e) Military medical personnel, health personnel of agencies and units; outpatient clinics with a person responsible for professional medical practice within the scope of general medical examination and treatment.

Article 5. Rights and obligations of medical practitioners and rights and responsibilities of medical facilities

1. Medical practitioners under the people's armed forces shall perform the rights and obligations prescribed in Articles 39, 40, 41, 42, 43, 44, 45, 46, and 47 of the Law on Medical Examination and Treatment.

2. Medical facilities under the people's armed forces shall perform the rights and responsibilities prescribed in Articles 59 and 60 of the Law on Medical Examination and Treatment.

3. In addition to the rights, obligations, and responsibilities prescribed in Clauses 1 and 2 of this Article, medical practitioners and medical facilities shall be responsible for performing their rights and obligations according to the provisions of the Law on Officers of the Vietnam People's Army, the Law on Public Security Organs, the Law on Professional Soldiers, Workers, and Civil Servants of National Defense, the Law on Cryptographic Services, and other relevant laws.

Article 6. Database for managing medical examination and treatment activities in the people's armed forces; exploitation and utilization of information to handle administrative procedures related to medical practitioners and medical facilities under the people's armed forces

The Ministry of National Defense and the Ministry of Public Security shall establish a database for managing medical examination and treatment activities in the people's armed forces in accordance with the following regulations:

1. The information system for managing medical examination and treatment activities in the people's armed forces must ensure content as prescribed in Clause 1 of Article 112 of the Law on Medical Examination and Treatment, meet conditions for ensuring safety and confidentiality of information as prescribed by law, and be suitable for national defense and security operations.

2. The information system for managing medical examination and treatment activities in the people's armed forces must ensure the following activities:

a) Issuing new, reissuing, extending, adjusting, revoking practice permits for medical examination and treatment; suspending practice for medical practitioners;

b) Issuing new, reissuing, adjusting, revoking operation permits for medical facilities; suspending operations for medical facilities;

c) Assigning technical specialties among medical facilities;

d) Evaluating and certifying quality for medical facilities.

3. Exploitation and utilization of information to handle administrative procedures related to medical practitioners and medical facilities under the people's armed forces

a) Authorities with jurisdiction, officers, staff members, and individuals entrusted with the responsibility of receiving and handling administrative procedures must exploit and utilize information about medical practitioners and medical facilities on the Information System for Managing Medical Examination and Treatment Activities in the People's Armed Forces to handle administrative procedures;

b) Information about medical practitioners and medical facilities when handling administrative procedures must be recorded and retained in the administrative procedure dossier on the Information System for Managing Medical Examination and Treatment Activities in the People's Armed Forces by officers, staff members, and individuals responsible for receiving and handling administrative procedures;

c) In cases where it is not possible to exploit information about medical practitioners and medical facilities in the Database for Managing Medical Examination and Treatment Activities in the People's Armed Forces, authorities with jurisdiction, officers, staff members, and individuals entrusted with the responsibility of receiving and handling administrative procedures, providing public services may request medical practitioners and medical facilities under the people's armed forces to submit original or certified copies of the necessary components of the administrative procedure dossier concerning medical practitioners and medical facilities under the people's armed forces. The requirement for medical practitioners and medical facilities to submit original or certified copies of the necessary components of the administrative procedure dossier is specified in the decision announcing administrative procedures of the Ministry of National Defense and the Ministry of Public Security.

Chapter II

ISSUING NEW, REISSUING, EXTENDING, ADJUSTING PRACTICE PERMITS AND MANAGING ACTIVITIES OF MEDICAL PRACTITIONERS

Article 7. Cases for Issuing New, Reissuing, and Extending Practice Permits

1. Issuing new practice permits applies to cases specified in point a and point b Clause 1 Article 30 of the Law on Medical Examination and Treatment and the following cases:

a) A practitioner whose practice permit was revoked under one of the circumstances specified in point c Clause 1, Clause 2, point c Clause 3, point b Clause 4, Clause 5, Clause 6, point c Clause 7 Article 34 of this Decree;

b) A practitioner who has not extended their practice permit as prescribed in Clause 1 Article 10 of this Decree for over 24 months from the expiration date stated in the practice permit;

c) A practitioner who has been issued a practice permit by an authority outside the People's Armed Forces, and requests reissuance of the practice permit after being recruited into the People's Armed Forces, with a period of more than 60 months from the cessation of practice at medical examination and treatment facilities outside the People's Armed Forces until submitting the application for issuance of the practice permit.

2. Reissuing practice permits applies to cases specified in point a and point b Clause 1 Article 31 of the Law on Medical Examination and Treatment and the following cases:

a) A practitioner who has been issued a practice permit by an authority outside the People's Armed Forces, and requests reissuance of the practice permit after being recruited into the People's Armed Forces, with a period of less than 24 months from the cessation of practice at medical examination and treatment facilities outside the People's Armed Forces until submitting the application for issuance of the practice permit;

b) A practitioner who has been issued a practice permit by an authority outside the People's Armed Forces, and requests reissuance of the practice permit after being recruited into the People's Armed Forces, with a period of from 24 months to less than 60 months from the cessation of practice at medical examination and treatment facilities outside the People's Armed Forces until submitting the application for issuance of the practice permit;

c) A practitioner whose practice permit was revoked under one of the circumstances specified in point a Clause 1, point a and point b Clause 3, point a Clause 4 and point a and point b Clause 7 Article 34 of this Decree.

3. Extending practice permits applies to cases specified in Clause 1 Article 32 of the Law on Medical Examination and Treatment when meeting the conditions stipulated in Clause 2 Article 32 of the Law on Medical Examination and Treatment.

Article 8. Documents and Procedures for Applying for New Practice Permits

1. The application documents for issuing new practice permits for practitioners applying for a practice permit for the first time as specified in point a Clause 1 Article 30 of the Law on Medical Examination and Treatment and the case specified in point c Clause 1 Article 7 of this Decree include:

a) An application form for issuing a new practice permit according to Model No. 01 Appendix II attached to this Decree;

b) One of the following documents: A confirmation letter of passing the assessment of professional competence in medical examination and treatment or a practice permit issued by an authorized agency of a foreign country recognized by the Ministry of Health;

c) A resume with confirmation from the head of the working unit at the level of regiment or equivalent and above;

d) Two color photographs with a white background, size 04 cm x 06 cm, taken within six months prior to the submission date.

2. The application documents for issuing new practice permits for practitioners changing their professional title recorded on the practice permit as specified in point b Clause 1 Article 30 of the Law on Medical Examination and Treatment include:

a) The documents specified in Clause 1 of this Article;

b) The original practice permit.

3. The application documents for issuing new practice permits for practitioners whose practice permits were revoked under the circumstances specified in point c Clause 1, Clause 2, point c Clause 3, point b Clause 4, Clause 5, Clause 6, point c Clause 7 Article 34 of this Decree:

a) The documents specified in Clause 1 of this Article;

b) The decision revoking the practice permit.

4. The application documents for issuing new practice permits for practitioners who have not extended their practice permit as prescribed in Clause 1 Article 10 of this Decree for over 24 months from the expiration date stated in the practice permit:

a) The documents specified in Clause 1 of this Article;

b) The decision revoking the practice permit.

5. Procedures for issuing new practice permits:

a) The applicant for a practice permit submits one set of documents corresponding to each case specified in Clauses 1, 2, 3, and 4 of this Article directly or through postal service or via electronic means to the Military Health Department at the higher level up to the unit affiliated with the Ministry of National Defense or the health facility affiliated with the Public Security Unit or locality under the Ministry of Public Security;

b) In the case of valid documents, within five working days from the receipt of the documents, the unit affiliated with the Ministry of National Defense or the health facility affiliated with the Public Security Unit or locality under the Ministry of Public Security will compile a list and send it directly or through postal service or via electronic means to the agency responsible for health management along with the application documents of the practitioner and a letter requesting approval from the head of the unit affiliated with the Ministry of National Defense or the health facility affiliated with the Public Security Unit or locality under the Ministry of Public Security.

In the case of invalid documents, within three working days from the receipt of the documents, the unit affiliated with the Ministry of National Defense or the health facility affiliated with the Public Security Unit or locality under the Ministry of Public Security or the agency responsible for health management must issue a written response to the unit that submitted the documents, specifying the reasons for invalidity, and requesting corrections or supplements to the documents in the application. The time for correcting or supplementing the documents shall not be counted towards the processing period;

c) Within five working days from the receipt of valid documents, the agency responsible for health management will review the documents, complete the procedures, and submit them to the competent authority for issuing new practice permits. If a new practice permit is not issued, a written response must be provided with specific reasons;

d) Within twenty days from the receipt of the report from the agency responsible for health management, the competent authority will issue a decision to issue a new practice permit and return the practice permit to the practitioner.

Article 9. Documents and procedures for reissuing practice permits

1. The documents for reissuing a practice permit in cases specified in point a, Clause 2, Article 7 of this Decree include:

a) An application form for reissuing a practice permit according to Model No. 02 attached as Appendix II to this Decree;

b) A confirmation document issued by the licensing authority stating that the applicant has been granted a practice permit outside the People's Armed Forces, specifying the permit number, date of issuance, issuing authority, personal information, professional title, and scope of practice;

c) A resume with confirmation from the head of the working unit at the level of regiment or equivalent and above;

d) Two color photographs with a white background, size 04 cm x 06 cm, taken within six months prior to the submission date.

2. The documents for reissuing a practice permit in cases specified in point b, Clause 2, Article 7 of this Decree include:

a) An application form for reissuing a practice permit according to Model No. 02 attached as Appendix II to this Decree;

b) A confirmation document issued by the licensing authority stating that the applicant has been granted a practice permit outside the People's Armed Forces, specifying the permit number, date of issuance, issuing authority, personal information, professional title, and scope of practice;

c) A certificate of practical experience according to Model No. 03 attached as Appendix I to this Decree;

d) A curriculum vitae with confirmation from the head of the working unit or agency at the level of regiment or higher;

đ) Two color photographs on a white background, size 04 cm x 06 cm, taken within six months prior to the submission date;

3. The documents for reissuing a practice permit in cases specified in point a, Clause 1, Article 31 of the Law on Medical Examination and Treatment include:

a) An application form for reissuing a practice permit according to Model No. 02 attached as Appendix II to this Decree;

b) The original practice permit except in cases where the practice permit is lost;

c) Two color photographs on a white background, size 04 cm x 06 cm, taken within six months prior to the submission date;

4. The documents for reissuing a practice permit in cases specified in point b, Clause 1, Article 31 of the Law on Medical Examination and Treatment include:

a) An application form for reissuing a practice permit according to Model No. 02 attached as Appendix II to this Decree;

b) The original practice permit already issued;

c) Documentation proving changes or errors in the information;

d) Two color photographs with a white background, size 04 cm x 06 cm, taken within six months prior to the submission date.

5. The documents for reissuing a practice permit in cases where it has been revoked according to point a, Clause 1, point a, Clause 3, and point a, Clause 7, Article 34 of this Decree include:

a) An application form for reissuing a practice permit according to Model No. 02 attached as Appendix II to this Decree;

b) The original practice permit already issued;

c) The decision to revoke the practice permit;

d) Two color photographs with a white background, size 04 cm x 06 cm, taken within six months prior to the submission date.

6. The documents for reissuing a practice permit in cases where it has been revoked according to point b, Clause 1, point b, Clause 3, point a, Clause 4, and point b, Clause 7, Article 34 of this Decree include:

a) The documents stipulated in Clause 5 of this Article;

b) A certificate of practical experience according to Model No. 03 attached as Appendix I to this Decree;

7. Procedures for reissuing a practice permit:

a) The applicant for reissuing a practice permit shall submit one set of documents corresponding to each case specified in Clauses 1, 2, 3, 4, 5, and 6 of this Article directly, through postal service, or via electronic means to the Military Health Department at the superior level up to the unit directly under the Ministry of National Defense or the health facility under the Public Security unit or locality of the Ministry of Public Security;

b) In cases where the documents are complete, within five working days from the date of receipt of the documents, the unit directly under the Ministry of National Defense or the health facility under the Public Security unit or locality of the Ministry of Public Security shall compile a list and send it directly, through postal service, or via electronic means to the health management authority along with the applicant’s application documents and a letter requesting approval from the head of the unit directly under the Ministry of National Defense or the health facility under the Public Security unit or locality of the Ministry of Public Security;

In the case of invalid documents, within three working days from the receipt of the documents, the unit affiliated with the Ministry of National Defense or the health facility affiliated with the Public Security Unit or locality under the Ministry of Public Security or the agency responsible for health management must issue a written response to the unit that submitted the documents, specifying the reasons for invalidity, and requesting corrections or supplements to the documents in the application. The time for correcting or supplementing the documents shall not be counted towards the processing period;

c) Within five working days from the date of receipt of the complete documents, the health management authority shall review the documents, complete the procedures, and submit them to the competent authority for reissuing the practice permit. If the practice permit is not reissued, a written response must be provided with the reasons stated;

d) Within five working days from the date of receipt of the report from the health management authority, the competent authority shall issue a decision to reissue the practice permit and return the practice permit to the practitioner.

Article 10. Extension of Practice License

1. Medical practitioners must complete the extension procedures for their practice license at least 60 days before the expiration date of the practice license as stipulated in Clause 2, Article 27 of the Law on Medical Examination and Treatment.

2. Medical practitioners who do not practice at medical facilities under the People's Armed Forces shall complete the extension procedures with the Ministry of Health or the Department of Health.

3. The application dossier for extending the practice license includes:

a) Application form for extending the practice license according to Form No. 04 attached as Appendix II to this Decree;

b) The original practice permit already issued;

c) Documentation proving continuous updating of medical knowledge in accordance with Article 22 of the Law on Medical Examination and Treatment.

4. Procedures for extending the practice license:

a) The applicant for extending the practice license submits one set of dossier in accordance with Clause 3 of this Article directly or through postal service or electronically to the Military Health Office at the higher level up to the main unit under the Ministry of National Defense or the health facility under the Public Security unit or local Public Security Bureau.

In case of illness, accident, or force majeure at the time of submitting the extension application dossier, a notification letter must be sent to the health management authority to postpone the submission time.

Medical practitioners may request multiple postponements of the extension deadline but the total postponed period cannot exceed 22 months from the expiration date of the practice license;

b) In cases where the documents are complete, within five working days from the date of receipt of the documents, the unit directly under the Ministry of National Defense or the health facility under the Public Security unit or locality of the Ministry of Public Security shall compile a list and send it directly, through postal service, or via electronic means to the health management authority along with the applicant’s application documents and a letter requesting approval from the head of the unit directly under the Ministry of National Defense or the health facility under the Public Security unit or locality of the Ministry of Public Security;

In the case of invalid documents, within three working days from the receipt of the documents, the unit affiliated with the Ministry of National Defense or the health facility affiliated with the Public Security Unit or locality under the Ministry of Public Security or the agency responsible for health management must issue a written response to the unit that submitted the documents, specifying the reasons for invalidity, and requesting corrections or supplements to the documents in the application. The time for correcting or supplementing the documents shall not be counted towards the processing period;

c) Within five working days from the receipt of a valid dossier, the health management authority will review the dossier, complete the procedures, and submit to the competent authority for the extension of the practice license. If the practice license is not extended, a written response with detailed reasons must be provided;

d) From the date of receiving the report from the health management authority until the expiration date on the practice license, the issuing authority is responsible for processing the extension or providing a written response with detailed reasons if the extension is not carried out; in case there is no written response by the expiration date on the practice license, the practice license remains valid as prescribed.

Article 11. Cases and Conditions for Adjusting the Practice License

1. Adjustment of the practice license applies to the following cases:

a) Already holding a practice license within a scope of practice without a specialty and requesting to add a specialty to the scope of practice;

b) Already holding a practice license within a scope of practice that includes a specialty but requesting to add another specialty different from the one already granted within the scope of practice;

c) Already holding a practice license within a scope of practice that includes a specialty but requesting to change the existing specialty to another specialty and ceasing to practice the previously granted specialty.

2. Conditions for adjusting the practice license

a) For those who have been granted a practice license but within a scope of practice without a specialty and requesting to add a specialty: Hold a degree in the specialty corresponding to the position stated on the practice license and the requested specialty as stipulated in Clause 1, Article 12 of this Decree;

b) For those who have been granted a practice license within a scope of practice that includes a specialty but requesting to add another specialty: Hold a degree in the specialty corresponding to the position stated on the practice license and the requested specialty as stipulated in Clause 1, Article 12 of this Decree;

c) For those who have been granted a practice license within a scope of practice that includes a specialty but requesting to change the specialty: Hold a degree in the specialty corresponding to the position and the requested changed specialty as stipulated in Clause 1, Article 12 of this Decree.

Article 12. Requirements for specialized training certificates and technical professional training certificates for medical examination and treatment, clinical psychology

1. Requirements for specialized training certificates in the field of medical examination and treatment issued by domestic training institutions:

a) Issued by a legally recognized training institution in accordance with the law;

b) The minimum training period is 18 months.

2. Requirements for technical professional training certificates for medical examination and treatment:

a) Issued by a training institution that has conducted at least one training course for the corresponding professional title or is a medical examination and treatment facility authorized to implement the corresponding technical procedures for a minimum period of six months;

b) The program and training materials for the technical professional certificate must be developed, reviewed, and promulgated by the training institution or used from another training institution with its written consent; the content of the program, study load, and instructors must be consistent with the technical procedure list as prescribed by the Ministry of Health.

3. In cases where a specialized training certificate is used to adjust the scope of practice according to point a, point b, or point c of Clause 1, Article 11 of this Decree, the training start date must be after the issuance date of the practice permit or adjustment of the practice permit.

4. Training programs for certificates and specialized training certificates as stipulated in Clause 1 and Clause 2 of this Article must be publicly announced on the website of the training institution.

Article 13. Application Documents and Procedures for Adjusting Practice Permits

1. Application documents for expanding the scope of practice in cases specified in point a and point b of Clause 1, Article 11 of this Decree include:

a) An application form according to Model No. 03 attached as Appendix II to this Decree;

b) A valid copy of the specialized training certificate or technical professional training certificate relevant to the expanded scope of practice;

c) A confirmation of practical experience according to Model No. 03 attached as Appendix I to this Decree for cases using a technical professional training certificate or specialized training certificate more than 24 months from the date of issuance to the date of submitting the application for adjusting the practice permit.

2. Application documents for changing the scope of practice in cases specified in point c of Clause 1, Article 11 of this Decree include:

a) An application form according to Model No. 03 attached as Appendix II to this Decree;

b) A valid copy of the specialized training certificate or technical professional training certificate relevant to the changed scope of practice and different from the specialty in the already issued practice permit;

c) The issued medical examination and treatment practice permit;

d) A confirmation of practical experience according to Model No. 03 attached as Appendix I to this Decree for cases using a technical professional training certificate or specialized training certificate more than 24 months from the date of issuance to the date of submitting the application for adjusting the practice permit.

3. Procedure for adjusting practice permits

a) The applicant sends one set of application documents corresponding to each case stipulated in Clause 1 and Clause 2 of this Article directly, through postal service, or via electronic means to the Military Health Department or the health facility under the Public Security agency at the provincial level or higher, up to the unit directly subordinate to the Ministry of National Defense or the health facility under the Public Security agency at the provincial level or higher under the Ministry of Public Security;

b) If the application documents are complete, within five working days from the date of receipt, the unit directly subordinate to the Ministry of National Defense or the health facility under the Public Security agency at the provincial level or higher will compile a list and send it directly, through postal service, or via electronic means to the health management authority along with the application documents of the practitioner and a letter requesting approval from the head of the unit directly subordinate to the Ministry of National Defense or the health facility under the Public Security agency at the provincial level or higher. If the application documents are incomplete, within three working days from the date of receipt, the unit directly subordinate to the Ministry of National Defense or the health facility under the Public Security agency at the provincial level or higher or the health management authority must issue a written response to the unit that submitted the documents, specifying the reasons for incompleteness, and requesting corrections or additions to the documents in the application. The time taken to correct or supplement the documents does not count towards the processing time;

c) Within five working days from the date of receipt of complete application documents, the health management authority will review the documents, complete the procedures, and submit them to the competent authority for adjustment of the practice permit. If the practice permit is not adjusted, a written response must be issued with specific reasons provided;

d) Within fifteen days from the date of receipt of the report from the health management authority, the competent authority will issue a decision to adjust the practice permit.

4. The form of adjustment of the practice permit is a Decision to Adjust the Practice Permit in paper or electronic form according to Model No. 01a or Model No. 01b attached as Appendix V to this Decree; the decision to adjust the practice permit is an inseparable component of the issued practice permit.

Article 14. Management of Medical Practice Licenses

1. Medical practice licenses:

a) A medical practice license is a hard copy or electronic document based on a common template of the Ministry of Health. The content is presented according to Model No. 01a or Model No. 01b in Appendix I attached to this Decree, printed, issued, and managed by the Ministry of National Defense and the Ministry of Public Security.

b) The serial number of the medical practice license must ensure continuity and non-repetition during issuance, and each practitioner can only be granted one medical practice license valid for five years with nationwide applicability.

c) The code symbol of the medical practice license shall be implemented according to Appendix IV attached to this Decree.

2. Management of application files and medical practice licenses:

a) The medical practice license of officers, professional military personnel, workers, and civil servants of national defense; officers, non-commissioned officers, and workers of public security personnel within the establishment shall be self-managed by individuals.

b) The medical practice license of non-commissioned officers and soldiers performing military service, public security service, and contractual labor shall be managed by the medical examination and treatment facility.

c) New issuance, reissuance, extension, and amendment of medical practice licenses shall be managed by the health management agency assigned in accordance with laws on recordkeeping and state secrets protection.

Article 15. Conditions, Principles, and Procedures for Registration of Medical Practice

1. Practitioners at medical examination and treatment facilities under the People's Armed Forces may only practice when they meet all conditions stipulated in Article 19 of the Law on Medical Examination and Treatment.

2. The principle of registration for medical practice shall be carried out in accordance with Article 36 of the Law on Medical Examination and Treatment and the following provisions:

a) One practitioner can only be responsible for the technical and professional management of one medical examination and treatment facility under the People's Armed Forces.

b) One practitioner can only be in charge of the technical management of one department in one medical examination and treatment facility; they cannot simultaneously manage more than two departments in the same facility or concurrently serve as the head of a department in another medical examination and treatment facility under the People's Armed Forces.

c) Practitioners responsible for the technical and professional management of medical examination and treatment facilities under the People's Armed Forces may concurrently manage one department within the same facility, provided it aligns with their scope of practice as stated in their medical practice license.

d) Practitioners at medical examination and treatment facilities under the People's Armed Forces may register for medical practice outside regular hours and serve as the person responsible for technical and professional management of a medical examination and treatment facility outside the People's Armed Forces.

e) Practitioners may register for medical practice at one or more medical examination and treatment facilities not under the People's Armed Forces, but they must not overlap working hours between different facilities and must ensure reasonable travel time between registered practice locations.

f) Practitioners at medical examination and treatment facilities under the People's Armed Forces may not register as the head of a private hospital or a medical examination and treatment facility established and operated under the Law on Enterprises or the Law on Cooperatives.

3. Content of Medical Practice Registration

a) Full name and medical practice license number of the practitioner.

b) Professional title and position for practitioners who are responsible for technical and professional management of medical examination and treatment facilities or heads of specialized departments in hospitals.

c) Place of practice, including the name and address of the medical examination and treatment facility where the registration is made.

d) Time of practice.

e) Scope of practice.

4. Medical examination and treatment facilities under the People's Armed Forces shall declare a list of practitioners registering for medical practice (including those practicing and working professionally at the facility but not required to obtain a medical practice license) according to Model No. 01a or Model No. 01b in Appendix III attached to this Decree.

5. Procedure for Registration of Medical Practice:

a) Medical examination and treatment facilities shall prepare a list of practitioners registering for medical practice simultaneously with the request for new operation permits and submit it directly, through postal services, or via electronic means to the central unit under the Ministry of National Defense or the healthcare facility under the local public security unit of the Ministry of Public Security. In cases where the medical examination and treatment facility is a central unit under the Ministry of National Defense or the Ministry of Public Security, the facility shall submit the application directly, through postal services, or via electronic means to the health management agency.

b) If there is a change in the practitioner during the waiting period for the operation permit, the updated list of practitioners registering for medical practice according to Model 01 in Appendix III issued along with this Decree must be submitted to the health management agency.

c) If a practitioner no longer works at the facility, the medical examination and treatment facility must report to the health management agency within three working days from the date the practitioner ceases practice at the facility.

d) If the medical examination and treatment facility adds a new practitioner, the facility must submit the updated list of practitioners registering for medical practice according to Model 01 in Appendix III issued along with this Decree to the health management agency within ten days from the date of adding the new practitioner.

5. The health management agency has the responsibility to publicly announce the list of practitioners on the Ministry of National Defense or Ministry of Public Security's electronic portal or its own website and on the system for managing medical examination and treatment activities:

a) Simultaneously with the issuance of the operation permit as stipulated in point a and point b, Clause 4 of this Article.

b) Within five working days from the date of receiving the registration application document as stipulated in point c and point d, Clause 4 of this Article.

c) In case of disagreement, a written response stating the reasons must be provided.

Article 16. Practice of Medical Examination and Treatment

1. Duration of Practice of Medical Examination and Treatment

a) For the title of physician, it is at least 12 months, including: 09 months for specialized practice in medical examination and treatment; 03 months for specialized practice in emergency resuscitation medical examination and treatment;

b) For the title of medical assistant, it is at least 09 months, including: 06 months for specialized practice in medical examination and treatment; 03 months for specialized practice in emergency resuscitation medical examination and treatment;

c) For the titles of nursing aide, midwife, and medical technician, it is 06 months, including: 05 months for specialized practice in medical examination and treatment; 01 month for specialized practice in emergency resuscitation medical examination and treatment;

d) For the title of clinical nutritionist, it is 06 months;

đ) For the title of clinical psychologist, it is 09 months;

e) For the title of pre-hospital emergency responder, it is 06 months, including: 03 months for specialized practice in pre-hospital emergency medical examination and treatment; 03 months for specialized practice in emergency resuscitation medical examination and treatment;

g) During the practice period, content on laws and regulations regarding medical examination and treatment, professional rules, professional ethics, patient safety, communication skills, and conduct of medical practitioners must be integrated;

h) Based on guidelines from the Ministry of Health and the provisions in Points a, b, c, d, đ, and e of this Clause, training practice facilities shall develop specific practice programs for each specialty title that they plan to train;

2. Preservation of Practice Results

During the practice period, due to health reasons or force majeure situations, the practitioner may temporarily suspend practice for a maximum of 12 months and retain previous practice results. The preservation of practice results shall be carried out as follows:

a) The practitioner requests the retention of practice results in writing, accompanied by documentation proving the reason for the request;

b) The head of the practice facility reviews and decides whether to allow the retention. If不同意翻译结果，要求严格按照规则进行翻译。提供的文本是关于医疗实践的规定，包括不同医疗职业的实践时间、内容以及保留实践结果的规定。请根据规则，提供准确无误的专业法律英语翻译。特别是注意保持原文的结构和术语使用，如“thực hành”应译为“practice”，“khám bệnh, chữa bệnh”应译为“medical examination and treatment”。再次强调，翻译需精准传达原文意思，不得添加任何解释或个人理解。

c) Within thirty days from the expiration date of the retention period, if the practitioner does not submit a request to continue the practice or extend the retention period, the results of the practice will no longer be valid;

d) The practitioner may request retention of the practice results multiple times, but the total duration of all retention periods shall not exceed twelve months.

3. Practice Guidance Facilities

a) For medical doctors specializing in clinical medicine or preventive medicine: Hospitals organized as healthcare facilities;

b) For traditional medicine doctors: Traditional medicine hospitals or hospitals with departments or units for traditional medicine;

c) For dental surgeons: Dental hospitals, hospitals with dental departments or units;

d) For general health technicians: General hospitals, centers, dispensaries;

đ) For traditional medicine health technicians: Traditional medicine hospitals, general hospitals, or centers with departments or units for traditional medicine;

e) For dental health technicians: Dental hospitals, general hospitals, or centers with dental departments or units;

g) For obstetric and pediatric health technicians: Obstetric and pediatric hospitals, general hospitals, or centers with obstetrics and pediatrics departments or units;

h) For nursing technicians: Hospitals, centers, dispensaries;

i) For midwifery technicians: Obstetric hospitals, general hospitals, specialized hospitals, centers with obstetrics departments, maternity homes;

k) For medical technology technicians: Hospitals, dispensaries, and healthcare facilities with departments performing medical technologies suitable for the content of the medical technology practice;

l) For clinical nutritionists: Hospitals with nutrition departments;

m) For clinical psychologists: Healthcare facilities with mental health or clinical psychology departments;

n) For pre-hospital emergency care technicians: Hospitals, dispensaries, and pre-hospital emergency care facilities;

4. Conditions and Responsibilities of Practice Guidance Facilities

a) Conditions: Hold a license to operate under one of the organizational forms of healthcare facilities specified in Article 4 of this Decree; have a scope of professional activities consistent with the content of the practice as prescribed by the Ministry of Health; be permitted to enter into cooperation contracts with other healthcare facilities when lacking the required specialties for the practice content;

b) Responsibilities: Self-assess conditions, submit a declaration document on the healthcare facility meeting the conditions to be a practice guidance facility according to Model 13 of Appendix II issued together with this Decree and the practice program to the agency responsible for managing healthcare. Within fifteen days from receiving the document, the agency responsible for managing healthcare shall publish the list of practice facilities on its official website or electronic information portal. In cases where the requirements for being a practice facility are not met, the agency responsible for managing healthcare shall notify the healthcare facility in writing, specifying the reasons;

5. Organization of Practice

a) The practice guidance facility receives and reviews the application file of the person requesting practice. The file includes: An introduction letter from a management unit at the regiment level or higher for persons requesting practice who belong to the People's Armed Forces or an application for practice for other subjects according to Model 11 of Appendix II issued together with this Decree; a certified copy of one of the professional certificates specified in Clause 1, Article 17 of this Decree;

b) The practice guidance facility must sign a guidance practice contract with persons requesting practice who do not belong to the People's Armed Forces. The guidance practice contract is implemented according to Model 12 of Appendix II issued together with this Decree;

c) The practice guidance facility sends a list of practitioners, the start date of practice, and the expected end date of practice to the agency responsible for managing healthcare;

d) The person responsible for technical and professional management of the healthcare facility decides to assign a guide for practice according to Model 6 of Appendix V issued together with this Decree. One guide for practice can only direct a maximum of five practitioners at the same time;

đ) The person guiding practical training must have a license to practice with a title and scope of practice consistent with the training program and the trainees; educational qualifications equivalent to or higher than those of the trainees; and at least three consecutive years of practice in medical examination and treatment.

e) The person guiding practical training shall be invited by the educational institution to participate in building training programs, compiling training materials, and conducting scientific research commensurate with their capabilities and professional qualifications; recognized as a full-time or visiting lecturer when meeting the conditions stipulated by law; considered for appointment to professor, associate professor titles, and awarded the titles of People's Teacher and Outstanding Teacher, and other forms of commendation according to the law; entitled to remuneration and other benefits (if any) as prescribed by law and internal expenditure regulations of the training facility; may refuse to guide practical training if it does not align with their expertise, capacity, or for legitimate reasons.

g) The person guiding practical training is responsible for ensuring patient safety; bears responsibility when the trainee causes professional errors during practical training, except in cases where the trainee intentionally violates rules.

h) The head of the medical examination and treatment facility is responsible for the quality of practical training and issues a certificate confirming completion of the practical training process to the trainee according to Model No. 03 attached as Appendix I accompanying this Decree after receiving the evaluation and comments from the person guiding practical training. The certificate confirming completion of the practical training process is valid for twenty-four months from the date of issuance.

i) The evaluation and comments of the practical teaching instructor and confirmation of the practical training process must ensure objectivity and honesty.

Article 17. Examination and Assessment of Professional Competence in Medical Examination and Treatment

1. Conditions regarding certificates of the person practicing medical examination and treatment who are eligible to participate in examinations and assessments to obtain a license to practice for various professional titles:

a) For the title of physician, including: Bachelor’s degree in General Medicine, Bachelor’s degree in Clinical Medicine, and other Bachelor’s degrees in Medicine obtained through university-level training programs as prescribed by law (hereinafter collectively referred to as Bachelor’s degree in Clinical Medicine), Bachelor’s degree in Dental Medicine, Bachelor’s degree in Traditional Medicine, and Bachelor’s degree in Preventive Medicine can participate in examinations and assessments within the corresponding scope of practice as general physicians, dental physicians, traditional medicine physicians, and preventive medicine physicians. Specialized physician’s degrees can participate in examinations and assessments within the corresponding specialized scope of practice.

b) For the title of assistant physician, including: Assistant Physician’s degree in General Medicine, Associate Degree in General Medicine, Associate Degree in Traditional Medicine, or Associate Degree in Traditional Medicine and other Assistant Physician’s degrees obtained through college-level training programs as prescribed by law (hereinafter collectively referred to as Assistant Physician’s degree) can participate in examinations and assessments within the corresponding scope of practice as assistant physicians.

c) For the title of nurse, including: Bachelor’s degree in Nursing; Associate Degree in Nursing can participate in examinations and assessments within the corresponding scope of practice as general nurses. Specialized nursing degrees can participate in examinations and assessments within the corresponding specialized scope of practice.

d) For the title of midwife, including: Associate Degree in Midwifery, Bachelor’s degree in Midwifery can participate in examinations and assessments within the corresponding scope of practice as general midwives. Specialized midwifery degrees can participate in examinations and assessments within the corresponding specialized scope of practice.

đ) For the title of medical technician, including: Associate Degree, Associate Degree, Bachelor’s degree in Medical Laboratory Technology, Medical Imaging Technology, Dental Prosthetics, Ophthalmic Refraction, Rehabilitation Technology, Physical Therapy, Occupational Therapy, Speech Therapy, Orthotics and Prosthetics, and Rehabilitation Technology can participate in examinations and assessments within the corresponding basic scope of practice. Specialized medical technician degrees can participate in examinations and assessments within the corresponding specialized scope of practice.

e) For the title of clinical nutritionist, including: Associate Degree in Nutrition, Bachelor’s degree in Nutrition, and physicians with a certificate in specialized training in clinical nutrition can participate in examinations and assessments within the corresponding basic scope of practice. Specialized clinical nutrition degrees can participate in examinations and assessments within the corresponding specialized scope of practice.

g) For the title of clinical psychologist, including: Bachelor’s degree in Clinical Psychiatric Nursing, Bachelor’s degree in Midwifery, Bachelor’s degree in Psychology, and physicians with a certificate in specialized training in clinical psychology as prescribed by the Ministry of Health can participate in examinations and assessments within the corresponding scope of practice. Master’s degree in Clinical Psychology, Doctorate in Clinical Psychology, and postgraduate specialized training certificates in clinical psychology as prescribed in Clause 1, Article 12 of this Decree can participate in examinations and assessments within the corresponding scope of practice in clinical psychology.

h) For the title of pre-hospital emergency responder, including: Certificates specified in any of the points a, b, c, and d of this clause, Associate Degree in Pre-Hospital Emergency Care, and Bachelor’s degree in Pre-Hospital Emergency Care can participate in examinations and assessments within the corresponding scope of practice as pre-hospital emergency responders.

i) Persons holding graduation certificates in health fields issued by foreign educational institutions recognized by the Minister of Education and Training as equivalent to bachelor’s or associate degrees, or recognized by the Minister of Labor, Invalids, and Social Affairs as equivalent to associate degrees for the professional titles specified in this clause, are eligible to participate in examinations and assessments within the corresponding scope of practice and professional title.

A foreign medical degree granting the title of doctor must complete supplementary training programs as prescribed by the Minister of Health to be eligible to participate in competency assessment examinations for the professional title of physician with corresponding scopes of practice including general physician, dental physician, traditional medicine physician, preventive medicine physician.

2. The Ministry of National Defense and the Ministry of Public Security shall cooperate with the National Medical Council to organize evaluations of medical practice competencies and establish:

a) Standards for medical facilities under the people's armed forces that meet the conditions to organize competency evaluation examinations for medical practice;

b) A set of tools and procedures for evaluating medical practice competencies;

c) Regulations on organizing competency evaluation examinations for medical practice.

Chapter III

ISSUANCE, RENEWAL, AND AMENDMENT OF LICENSES

Section 1

CONDITIONS FOR ISSUING NEW LICENSES

Article 18. Conditions for issuing a new license for medical examination and treatment facilities

1. There must be a decision on establishment issued by the competent authority.

2. There must be a fixed location (except in cases of mobile medical examination and treatment activities). In cases where there are additional medical examination and treatment facilities or departments not within the same premises, they must meet specific conditions according to the organizational forms of such facilities as stipulated in this Decree.

3. Infrastructure:

a) Must ensure conditions for radiation safety, fire prevention and fighting, and medical waste management in accordance with the provisions of the law.

In cases where medical examination and treatment facilities are within the premises of agencies or units under the people's armed forces, they may use certificates of compliance with radiation safety, fire prevention and fighting, and medical waste management conditions from those agencies or units;

b) Must have areas that meet the conditions for infection control and environmental hygiene;

c) Information technology infrastructure must be connected to the Medical Examination and Treatment Activity Management Information System as provided for in Clause 1, Article 112 of the Medical Examination and Treatment Law and must be suitable for national defense and security operations.

4. Medical equipment:

a) Must have medical equipment appropriate to the registered scope of activities and technical specialties;

b) Consultation rooms for health advice or remote health consultations must have sufficient information and communication technology devices and equipment appropriate to the registered scope of activities.

5. Human resources:

a) Each medical examination and treatment facility must have a person responsible for technical and professional matters;

b) Heads of departments or specialized units in medical examination and treatment facilities must be healthcare staff holding a practice permit appropriate to the scope of professional activities of their department or unit;

c) Practitioners working in the facility who perform medical examinations and treatments must hold a practice permit and can only conduct medical examinations and treatments within the scope specified in their practice permit. Based on the scope of professional activities, diplomas, certificates, training certifications, and the capabilities of practitioners, the person responsible for technical and professional matters at the medical examination and treatment facility must assign practitioners to perform technical procedures in writing;

d) Individuals participating in medical examinations and treatments who do not require a practice permit as stipulated in Point d, Clause 2, Article 19 of the Medical Examination and Treatment Law (such as medical physicists, radiotherapy engineers, speech therapy technicians, psychological therapists, and other individuals, hereinafter referred to as workers) may carry out professional activities according to the assignments made by the person responsible for technical and professional matters at the medical examination and treatment facility; such assignments must be consistent with the professional diplomas of these individuals.

6. The scope of professional activities must include performing technical services according to the approved list.

7. Medical examination and treatment facilities that organize health check-ups must also meet the following additional conditions:

a) They must be organized in the form of hospitals, infirmaries, or multi-specialty clinics;

b) They must have all necessary clinical and paraclinical departments, human resources, and medical equipment to conduct health checks and identify health conditions according to health standards and health check-up forms issued along with health check-up guidelines;

c) They must ensure the linkage of health check-up data for drivers to the Ministry of Health or upload it to the Data Reception Portal of the Health Insurance Claim Verification Information System.

8. Medical examination and treatment facilities that organize occupational disease diagnosis and treatment, in addition to meeting the corresponding organizational conditions, must also meet the following additional conditions:

a) They must be organized in the form of multi-specialty clinics or specialized clinics or physician clinics;

b) They must have biochemical testing departments;

c) They must have medical equipment appropriate to the registered technical specialties and occupational diseases;

d) Personnel conducting occupational disease diagnosis and treatment must hold a practice permit with the title of physician or preventive medicine physician and have a certificate of training in occupational diseases.

9. Medical examination and treatment facilities that organize HIV/AIDS testing, in addition to meeting the corresponding organizational conditions, must also meet the conditions stipulated in Government Decree No. 75/2016/NĐ-CP dated July 1, 2016, regarding the conditions for conducting HIV tests.

10. Medical examination and treatment facilities that organize assisted reproductive technology and surrogacy for humanitarian purposes, in addition to meeting the corresponding organizational conditions, must also meet the conditions stipulated in Government Decree No. 10/2015/NĐ-CP dated January 28, 2015, regarding assisted reproductive technology and the conditions for surrogacy for humanitarian purposes.

11. Conditions for medical examination and treatment facilities to request amendments to their licenses: There must be a decision by the competent authority regarding changes to the contents prescribed in Clause 1, Article 54 of the Medical Examination and Treatment Law.

Article 19. Conditions for Issuing an Operating Permit for Hospitals

The conditions for issuing an operating permit for hospitals shall be carried out according to Article 18 of this Decree and the following conditions:

1. Scale must have a minimum of 30 beds.

2. Organizing departments:

a) Must have at least two out of four departments (internal medicine, surgery, obstetrics, pediatrics) for general hospitals or one clinical department suitable for specialized hospitals;

b) Outpatient department: Must have a reception area, emergency department, consultation room, minor surgery room (if performing minor surgeries);

c) Clinical laboratory department: Must have at least one laboratory and one diagnostic imaging room;

d) Must have a pharmacy department and equipment department;

đ) Other specialized departments must be appropriate to the scale and functions;

e) Must have departments, offices, divisions, and units performing functions related to planning and integration, human resources organization, quality management, nursing, finance and accounting, infection control, information technology, nutrition, and other necessary functions.

3. Infrastructure:

Depending on the scale, the hospital must be designed and constructed to meet the following conditions:

a) Arranging parts to ensure professional operations in a centralized, continuous, and closed-loop model;

b) Ensuring a minimum floor area of 50 square meters per bed; the width of the front facade (front face) of the hospital must be at least 10 meters;

c) Having a backup power supply system.

4. Equipment: Must have sufficient emergency transport means within and outside the hospital. In cases where there is no emergency transport outside the hospital, there must be a contract with a medical facility that has been issued an operating permit and has the scope of professional activities to provide emergency support services for patient transportation.

5. Human resources:

a) The number of full-time practitioners working in each department must reach a minimum ratio of 50% of the total number of practitioners in the department;

b) Heads of specialized departments must be full-time practitioners working at the hospital;

c) Heads of other departments not covered by the practitioner permit must hold a bachelor's degree in a relevant field and must be full-time practitioners working at the hospital.

Article 20. Conditions for Issuing an Operating Permit for Health Stations

Health stations must meet the conditions stipulated in Article 18 of this Decree and the following conditions:

1. Scale must have a minimum of five beds.

2. Organizing offices and units:

a) Must have at least two offices or units (internal medicine, surgery) or specialized units suitable for the health station's outpatient and treatment requirements;

b) Must have a reception area, emergency department, consultation room, minor surgery room (if performing minor surgeries);

c) Must have a clinical laboratory unit (laboratory or diagnostic imaging);

d) Must have a pharmacy unit and other specialized units appropriate to the scale and functions.

3. Infrastructure: Depending on the scale, the health station must be designed and constructed to meet the conditions specified in Clause 4 of Article 18 of this Decree.

4. Medical equipment must meet the conditions specified in Clause 5 of Article 18 of this Decree.

5. Human Resources: Number of staff; ratio of structural components; positions according to the organizational chart and establishment.

6. For detention center health stations, prison health stations, compulsory education institution health stations, and juvenile rehabilitation center health stations managed by the Ministry of Public Security, there must be a minimum of two doctors with practitioner permits and the conditions stipulated in Clause 1, point b of Clause 2, Clause 3, Clause 4, and Clause 5 of this Article.

Article 21. Conditions for Issuing an Operating Permit for a Multispecialty Clinic

A multispecialty clinic must meet the conditions stipulated in Article 18 of this Decree and the following conditions:

1. Organization:

a) Must have at least two internal and external departments;

b) Must have a laboratory and imaging department.

2. Infrastructure: Must have an emergency department, specialized outpatient clinics, and minor surgery rooms (if performing minor surgeries). The rooms within the multispecialty clinic must have sufficient area to perform professional techniques.

3. Medical equipment: Must have adequate medical equipment suitable for the scope of professional activities of the facility.

4. Human resources: Number of staff members; ratio of structural components; position titles according to the organizational chart and staffing table.

Article 22. Conditions for Issuing an Operating Permit for a Specialized Clinic

A specialized clinic must meet the conditions stipulated in Article 18 of this Decree and the following conditions:

1. Must have specialized departments and an emergency department appropriate to the specialty of the clinic.

2. Must have adequate medical equipment suitable for the scope of professional activities of the facility.

3. Human resources: Number of staff members; ratio of structural components; position titles according to the organizational chart and staffing table.

Article 23. Conditions for Issuing an Operating Permit for Military Medical Teams, Public Security Health Teams

1. Must have a fixed location; an emergency department; ensure radiation safety conditions (if there are related medical equipment), fire prevention and firefighting, waste disposal in accordance with relevant laws.

2. Must have adequate medical equipment suitable for the scope of professional activities of the facility.

3. Human resources: Must have a person responsible for technical expertise; other individuals must have a practice permit and only conduct medical examinations and treatments within the scope specified on their practice permit.

4. Scope of professional activities: Implement professional techniques according to the approved list by the competent authority.

Article 24. Conditions for Issuing an Operating Permit for Military Medicine, Organizational Health Units; Outpatient Clinics with a Person Responsible for Technical Expertise Having a Broad Scope of Practice for Medical Examinations and Treatments

1. Must have a fixed location; an emergency department; ensure fire prevention and firefighting, waste disposal in accordance with relevant laws.

2. Must have adequate medical equipment suitable for the scope of professional activities of the facility.

3. Human resources: Must have a person responsible for technical expertise; other individuals participating in medical examinations and treatments must have a practice permit and conduct medical examinations and treatments within the scope specified on their practice permit.

4. Scope of professional activities: Implement professional techniques according to the approved list by the competent authority.

Section 2

APPLICATIONS AND PROCEDURES FOR ISSUING NEW, RENEWAL, AND AMENDMENT OF OPERATING PERMITS

Article 25. Application Documents for Issuing New, Renewal, and Amendment of Operating Permits

1. Application documents for issuing a new operating permit for medical examination and treatment facilities as stipulated in Clause 1 of Article 52 of the Law on Medical Examination and Treatment must meet the conditions stipulated in Articles 18, 19, 20, 21, 22, 23, and 24 of this Decree, depending on the form of organization of the medical examination and treatment facility, specifically as follows:

a) A request document from the head of the main unit under the Ministry of National Defense or the health facility under the Public Security unit, locality under the Ministry of Public Security, or the person in charge of the medical examination and treatment facility under the Ministry of National Defense, Ministry of Public Security according to Model No. 06 Appendix II attached to this Decree;

b) A certified true copy of the decision on establishment or issuance of the organizational chart and staffing table of the medical examination and treatment facility by the competent authority;

c) A certified true copy of the practice permit and confirmation of the professional practice period of the person responsible for technical expertise of the medical examination and treatment facility under the people's armed forces;

d) List of individuals registered for professional practice of the medical examination and treatment facility under the people's armed forces (including registration of practitioners and those working in professional positions but not required to obtain a practice permit) according to Model No. 01a or Model No. 01b Appendix III attached to this Decree;

đ) An inventory of infrastructure and medical equipment of the medical examination and treatment facility according to Model No. 02 Appendix III attached to this Decree;

e) List of individuals working outside regular hours who are not under the management of the Ministry of National Defense or the Ministry of Public Security at the medical examination and treatment facility;

g) A certified true copy of documents and materials proving that the medical examination and treatment facility meets the conditions regarding infrastructure, medical equipment, and organizational staffing suitable for the level of technical expertise of one of the types of medical examination and treatment facilities specified in Articles 19, 20, 21, 22, 23, and 24 of this Decree.

2. Application documents for renewing an operating permit for medical examination and treatment facilities in cases stipulated in Clause 1 of Article 53 of the Law on Medical Examination and Treatment, specifically as follows:

a) A request document from the head of the main unit under the Ministry of National Defense or the health facility under the Public Security unit, locality under the Ministry of Public Security, or the person in charge of the medical examination and treatment facility under the Ministry of National Defense, Ministry of Public Security according to Model No. 10 Appendix II attached to this Decree;

b) Original operating permit in case it is damaged or contains errors;

c) Proof material for cases involving information errors.

3. Application documents for amending an operating permit for medical examination and treatment facilities when changing the name or address or working hours but not the location of the medical examination and treatment facility:

a) A request document from the head of the main unit under the Ministry of National Defense or the health facility under the Public Security unit, locality under the Ministry of Public Security, or the person in charge of the medical examination and treatment facility under the Ministry of National Defense, Ministry of Public Security according to Model No. 07 Appendix II attached to this Decree;

b) Original operating permit and a certified true copy of the decision by the competent authority regarding the change of name or address or working hours but not the location of the medical examination and treatment facility.

4. Application documents for amending the content of an operating permit for medical examination and treatment facilities when changing the scale of operation, including:

a) A request document from the head of the main unit under the Ministry of National Defense or the health facility under the Public Security unit, locality under the Ministry of Public Security, or the person in charge of the medical examination and treatment facility under the Ministry of National Defense, Ministry of Public Security regarding the amendment of the content of the operating permit according to Model No. 08 Appendix II attached to this Decree;

b) A certified copy of the decision of the competent authority regarding the staffing organization of the medical examination and treatment facility;

c) An inventory of physical facilities and medical equipment according to Model No. 02 Appendix III attached to this Decree.

5. The application dossier for amending the content of the operating permit for a medical examination and treatment facility when changing the scope of professional activities includes:

a) The document prescribed at point a, Clause 4, Article 25 of this Decree;

b) A certified copy of the decision approving the technical procedure list issued by the health management agency;

c) An inventory of physical facilities and medical equipment and human resource files corresponding to the proposed adjusted scope of professional activities according to Model No. 02 Appendix III attached to this Decree.

6. The application dossier for amending the content of the operating permit for a medical examination and treatment facility when changing the person responsible for professional matters:

a) The request letter of the head of the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security or the head of the medical examination and treatment facility directly under the Ministry of National Defense, Ministry of Public Security according to Model No. 09 Appendix II attached to this Decree;

b) A certified copy of the decision appointing the new person responsible for professional technical matters of the medical examination and treatment facility;

c) The original operating permit of the medical examination and treatment facility that has been issued.

Article 26. Procedures and formalities for issuing, reissuing, and amending operating permits

1. Procedures and formalities for issuing a new operating permit

a) The medical examination and treatment facility shall prepare one set of the application dossier for issuing a new permit as prescribed in Clause 1, Article 25 of this Decree and submit it directly or through postal service or via electronic environment to the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security. In case the medical examination and treatment facility is a unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security, the medical examination and treatment facility shall submit the dossier directly or through postal service or via electronic environment to the health management agency;

b) In case the dossier is valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security shall compile and send a list along with the application dossier of the medical examination and treatment facility and a letter requesting approval from the head of the unit to the health management agency;

In case the dossier is not valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security or the health management agency must issue a written response to the entity submitting the dossier, specifying the specific reasons for invalidity, requesting corrections or supplements to the documents in the application dossier. The time for correcting or supplementing documents in the dossier shall not be counted towards the processing period;

c) The health management agency shall review the dossier, report to the Ministry of National Defense, Ministry of Public Security for on-site verification at the facility applying for the permit and draft the verification record within fifty days from the date of receipt of the valid dossier;

d) In case there is no requirement for correction or supplementation, the new operating permit shall be issued within ten days from the date of issuance of the verification record. In case there is a requirement for correction or supplementation, it must be clearly stated in the content of the verification record. Within ten days from the date of receipt of the notification letter and supporting documents proving the completion of rectification and repair by the applying facility, the Ministry of National Defense, Ministry of Public Security may conduct an on-site inspection of the rectification and repair if necessary or proceed with issuing the operating permit. If the operating permit is not issued, a written response must be provided stating the specific reasons;

e) In case the medical examination and treatment facility is granted an operating permit in the form of a hospital or infirmary, when issuing the operating permit, the issuing agency shall issue a temporary classification document for such hospital or infirmary at the basic level. The temporary classification period is two years, starting from the date recorded in the temporary classification document. Within sixty days before the end of the temporary classification period, the hospital or infirmary must submit a dossier to complete the procedures for professional technical classification as stipulated in Article 36 of this Decree.

2. Procedures and formalities for reissuing an operating permit.

a) The medical examination and treatment facility shall prepare one set of the application dossier for reissuing as prescribed in Clause 2, Article 25 of this Decree and submit it directly or through postal service or via electronic environment to the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security. In case the medical examination and treatment facility is a unit directly under the Ministry of National Defense, Ministry of Public Security, the medical examination and treatment facility shall submit the dossier directly or through postal service or via electronic environment to the health management agency;

b) In case the dossier is valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security shall compile and send a list along with the application dossier of the medical examination and treatment facility and a letter requesting approval from the head of the unit to the health management agency;

In case the dossier is not valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security or the health management agency must issue a written response to the entity submitting the dossier, specifying the specific reasons for invalidity, requesting corrections or supplements to the documents in the application dossier. The time for correcting or supplementing documents in the dossier shall not be counted towards the processing period;

c) Within five working days from the date of receipt of the valid dossier, the health management agency shall review the dossier, complete the procedures, and submit to the competent authority for reissuing the operating permit. In case the operating permit is not reissued, a written response must be provided stating the specific reasons;

c) Within five working days from receiving a complete application file, the agency responsible for managing healthcare reviews the file, completes the procedures, and submits to the competent authority for reissuing the operating license. If the operating license is not reissued, it must respond in writing and specify the reasons.

d) Within ten days from the date of receiving the report from the agency entrusted with health management, the competent authority shall issue a decision to reissue the business operation permit; the agency entrusted with health management shall update information on the reissued business operation permit on the electronic portal of the Ministry of National Defense, the Ministry of Public Security, or its own website, and on the system for managing medical examination and treatment activities.

3. The procedure for issuing an amended business operation permit in cases of changing working hours, changing name, or changing address of a medical examination and treatment facility without changing location, or changing the person responsible for professional matters at the medical examination and treatment facility.

a) A medical examination and treatment facility shall prepare one set of application documents for amending the provisions stipulated in Clause 3 or Clause 6 of Article 25 of this Decree and submit it directly, via postal service, or through an electronic environment to the lead unit under the Ministry of National Defense or a healthcare facility under the People's Public Security Unit or local police force under the Ministry of Public Security. In the case where the medical examination and treatment facility is a lead unit under the Ministry of National Defense or the Ministry of Public Security, the medical examination and treatment facility shall submit the documents directly, via postal service, or through an electronic environment to the agency entrusted with health management.

In case the dossier is not valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security or the health management agency must issue a written response to the entity submitting the dossier, specifying the specific reasons for invalidity, requesting corrections or supplements to the documents in the application dossier. The time for correcting or supplementing documents in the dossier shall not be counted towards the processing period;

In case the dossier is not valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security or the health management agency must issue a written response to the entity submitting the dossier, specifying the specific reasons for invalidity, requesting corrections or supplements to the documents in the application dossier. The time for correcting or supplementing documents in the dossier shall not be counted towards the processing period;

c) Within five working days from the date of receipt of valid documents, the agency entrusted with health management shall review the documents, complete the procedures, and submit to the competent authority for amending the business operation permit. If the business operation permit is not amended, a written response must be provided with clear reasons stated.

d) Within ten days from the date of receiving the report from the agency entrusted with health management, the competent authority shall issue a document allowing the amendment of working hours, name, address, or the person responsible for professional matters of the medical examination and treatment facility in the business operation permit; the agency entrusted with health management shall update information on the amended business operation permit on the electronic portal of the Ministry of National Defense, the Ministry of Public Security, or its own website, and on the system for managing medical examination and treatment activities.

4. The procedure for issuing an amended business operation permit in cases of changing the scope of professional activities or changing the scale of operations of a medical examination and treatment facility.

a) A medical examination and treatment facility shall prepare one set of application documents for amending the provisions stipulated in Clause 4 or Clause 5 of Article 25 of this Decree and submit it directly, via postal service, or through an electronic environment to the lead unit under the Ministry of National Defense or a healthcare facility under the People's Public Security Unit or local police force under the Ministry of Public Security. In the case where the medical examination and treatment facility is a lead unit under the Ministry of National Defense or the Ministry of Public Security, the medical examination and treatment facility shall submit the documents directly, via postal service, or through an electronic environment to the agency entrusted with health management.

In case the dossier is not valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security or the health management agency must issue a written response to the entity submitting the dossier, specifying the specific reasons for invalidity, requesting corrections or supplements to the documents in the application dossier. The time for correcting or supplementing documents in the dossier shall not be counted towards the processing period;

In case the dossier is not valid, within five working days from the date of receipt of the dossier, the unit directly under the Ministry of National Defense or the healthcare facility directly under the Public Security Unit, local Public Security Bureau under the Ministry of Public Security or the health management agency must issue a written response to the entity submitting the dossier, specifying the specific reasons for invalidity, requesting corrections or supplements to the documents in the application dossier. The time for correcting or supplementing documents in the dossier shall not be counted towards the processing period;

c) Within five working days from the date of receipt of valid documents, the agency entrusted with health management shall review the documents, complete the procedures, and submit to the competent authority for amending the business operation permit. If the business operation permit is not amended, a written response must be provided with clear reasons stated. In cases requiring on-site verification at the medical examination and treatment facility, the provisions of point c and point d of Clause 1 of this Article shall be followed.

d) Within ten days from the date of receiving the report from the agency entrusted with health management, the competent authority shall issue a document allowing the amendment of the scope of professional activities or the scale of operations of the medical examination and treatment facility in the business operation permit; the agency entrusted with health management shall update information on the amended business operation permit on the electronic portal of the Ministry of National Defense, the Ministry of Public Security, or its own website, and on the system for managing medical examination and treatment activities.

5. After issuing a new, reissuing, or amending the business operation permit for a medical examination and treatment facility under the people's armed forces, the agency entrusted with health management shall be responsible for:

a) Notifying in writing the People's Committee of the province and the Department of Health where the medical examination and treatment facility has been granted a business operation permit within thirty days from the date of issuance, reissuance, or amendment of the business operation permit.

b) Publishing a list of medical examination and treatment facilities that have been issued a new, reissued, or amended business operation permit within their jurisdiction on the electronic portal of the Ministry of National Defense, the Ministry of Public Security within five working days from the date of the decision to issue a new, reissue, or amend the business operation permit for the medical examination and treatment facility.

Article 27. Management of permits for medical examination and treatment activities

1. The permit for operation is a hard copy or electronic version according to the common model of the Ministry of Health. The content is presented according to Model No. 02a or Model No. 02b in Appendix I attached to this Decree, printed, issued, and managed by the Ministry of National Defense or the Ministry of Public Security.

2. Each medical examination and treatment facility shall only be granted one permit for medical examination and treatment activities. In cases where a medical examination and treatment facility operates at multiple locations, each location must meet the conditions stipulated in Articles 18, 19, 20, 21, 22, 23, and 24 of this Decree according to the type of medical examination and treatment facility and shall be granted one permit for operation.

Chapter IV

SUSPENSION OF PRACTICE; SUSPENSION OF SPECIALTY PRACTICE; REVOCATION OF PRACTICE LICENSE AND POST-REVOCATION HANDLING; REVOCATION OF PERMIT FOR MEDICAL EXAMINATION AND TREATMENT ACTIVITIES

Article 28. Procedures for suspending the practice of medical practitioners

1. For cases where the practitioner is suspended based on the conclusion of the specialized council as provided for in Article 101 of the Law on Medical Examination and Treatment:

a) In cases where the specialized council is established by the medical examination and treatment facility in accordance with point a, Clause 4, Article 101 of the Law on Medical Examination and Treatment, within five working days from the date of the conclusion, the specialized council shall send the conclusion document to the medical examination and treatment facility.

Within five working days from the date of receipt of the conclusion document of the specialized council, the medical examination and treatment facility shall have the responsibility to report in writing to the agency assigned to manage health affairs, clearly stating the reasons for requesting suspension of practice.

b) In cases where the specialized council is established by the agency assigned to manage health affairs in accordance with point b, Clause 4, Article 101 of the Law on Medical Examination and Treatment, the specialized council shall send the conclusion document to the agency assigned to manage health affairs, clearly stating the reasons for requesting suspension of practice within the time limit specified in point a of this clause.

c) Within five working days from the date of receipt of the recommendation document of the specialized councils at various levels, the agency assigned to manage health affairs shall report to the competent authority to issue the decision to suspend practice.

d) Within five working days from the date of receipt of the proposal document of the agency assigned to manage health affairs, the competent authority shall issue the decision to suspend practice according to Model No. 04a or Model No. 04b in Appendix V attached to this Decree. The content of the decision to suspend practice must be based on the conclusion document.

2. For cases where the practitioner is suspended based on the conclusion of the competent authority regarding violations of professional ethics but not to the extent that requires revocation of the practice license:

a) In cases where the issuing authority does not have the authority to suspend or revoke the practice license, it shall send the conclusion document to the agency assigned to manage health affairs. It must clearly state the reasons for requesting suspension of practice.

Within five working days from the date of receipt of the conclusion document, the agency assigned to manage health affairs shall report to the competent authority to issue the decision to suspend practice.

Within five working days from the date of receipt of the proposal document of the agency assigned to manage health affairs, the competent authority shall issue the decision to suspend practice according to Model No. 04a or Model No. 04b in Appendix V attached to this Decree. The content of the decision to suspend practice must be based on the conclusion document.

b) In cases where the issuing authority has the authority to suspend or revoke the practice license, within five working days from the date of the conclusion document, the competent authority shall issue the decision to suspend practice according to Model No. 04a or Model No. 04b in Appendix V attached to this Decree. The content of the decision to suspend practice must be based on the conclusion document.

3. For cases where the practitioner is suspended due to lack of physical fitness to practice:

a) Within five working days from the date of receipt of the conclusion document of the competent authority (including: courts, appraisal agencies, healthcare facilities) regarding the practitioner's lack of physical fitness to practice, the agency assigned to manage health affairs shall report to the competent authority to issue the decision to suspend practice.

b) Within five working days from the date of receipt of the proposal document of the agency assigned to manage health affairs, the competent authority shall issue the decision to suspend practice according to Model No. 04a or Model No. 04b in Appendix V attached to this Decree. The content of the decision to suspend practice must be based on the conclusion document.

Within five working days from the date of the decision to suspend practice by the competent authority, the agency assigned to manage health affairs shall have the responsibility to:

a) Notify the medical examination and treatment facilities of the Ministry of National Defense or the Ministry of Public Security about the decision to suspend the specialty practice of the medical practitioner.

b) Send the decision to suspend to the practitioner or implement the limitation of the scope of practice of the suspended practitioner on the information system for managing medical examination and treatment activities.

c) Send the decision to suspend to the agency that issued the practice license to the practitioner if the agency issuing the decision to suspend is not the agency that issued the practice license to the practitioner.

Article 29. Post-suspension Handling for Medical Practitioners

1. In cases where the suspension decision does not require the suspended medical practitioner to update their medical knowledge continuously, the medical practitioner may continue practicing upon expiration of the suspension period.

2. In cases where the suspension decision mandates the suspended medical practitioner to update their medical knowledge continuously, within twelve months from the effective date of the suspension decision, the medical practitioner shall be responsible for implementing such updates and submitting the results of continuous medical knowledge updates in accordance with the regulations of the Ministry of Health to the agency assigned to manage healthcare.

3. Within five working days from the date of receiving the results of continuous medical knowledge updates, the agency assigned to manage healthcare shall report to the authority that issued the medical practice permit to decide on allowing the resumption of practice.

4. In cases where the medical practitioner fails to complete the continuous medical knowledge updates as stipulated herein, the authority issuing the medical practice permit shall be responsible for issuing a suspension decision. The medical practitioner shall be responsible for complying with the provisions of Clause 2 of this Article.

If the total suspension period exceeds twenty-four months, the authority issuing the medical practice permit shall be responsible for revoking the medical practice permit within fifteen days from the date exceeding the suspension period, and the medical practitioner must go through the procedures for obtaining a new medical practice permit.

5. The suspension period shall not exceed twenty-four months.

Article 30. Cases and Procedures for Partial or Full Suspension of Professional Activities at Medical Examination and Treatment Facilities

1. In cases where medical examination and treatment facilities are suspended due to:

a) Occurrence of medical incidents necessitating the suspension of professional activities;

b) Failure to meet one of the conditions prescribed in Article 49 of the Law on Medical Examination and Treatment;

c) Failure to meet one of the conditions prescribed in Articles 18, 19, 20, 21, 22, 23, and 24 of this Decree.

2. The nature, extent, consequences of the medical incident or failure to meet the operational conditions specified in point c of Clause 1 of this Article shall serve as the basis for deciding on partial or full suspension of the operating license of the medical examination and treatment facility. In cases of administrative violations by the medical examination and treatment facility, the relevant laws on administrative violation handling shall apply.

3. Within five working days from the date of the conclusion of the specialized committee as prescribed in Article 101 of the Law on Medical Examination and Treatment or the inspection and audit findings determining that the medical examination and treatment facility has violated and requires partial or full suspension of professional activities, the competent authority prescribed in Article 51 of the Law on Medical Examination and Treatment shall issue a decision to partially or fully suspend the professional activities of the facility according to Model 05a or Model 05b in Appendix V attached to this Decree.

4. Within three working days from the date of issuance of the decision to partially or fully suspend the professional activities of the medical examination and treatment facility, the agency assigned to manage healthcare shall be responsible for:

a) Notifying other medical examination and treatment facilities under the Ministry of National Defense or the Ministry of Public Security about the decision to partially or fully suspend the professional activities of the medical examination and treatment facility;

b) Publishing information regarding the suspension of professional activities of the medical examination and treatment facility while simultaneously implementing restrictions on the scope of professional activities of the suspended medical examination and treatment facility on the system for managing medical examination and treatment activities.

Article 31. Post-suspension Handling of Medical Examination and Treatment Facilities

1. After completing the rectification, the medical examination and treatment facility suspended shall be responsible for submitting the rectification report to the agency assigned to manage healthcare.

2. In cases where there is no request for modification or supplementation of the file, the health management agency shall report to the competent authority to implement one of the following provisions:

a) Issue a decision to terminate the suspension within fifteen days from the date of receipt of the file if the rectification report meets the requirements;

b) Organize an on-site evaluation at the medical examination and treatment facility requesting within thirty days from the date of receipt of the file, if necessary.

3. In cases where there is a request for modification or supplementation of the rectification report, within ten days from the date of receipt of the file, the agency assigned to manage healthcare must issue a document to the medical examination and treatment facility requesting, specifying the specific documents and contents that need to be modified or supplemented. Within six months from the date the agency assigned to manage healthcare issues a notification of modification or supplementation, the medical examination and treatment facility must submit the modified and supplemented report according to the request. If the medical examination and treatment facility does not modify or supplement after this period, the submitted report will lose its validity.

4. After receiving the modified and supplemented report, the agency assigned to manage healthcare shall implement one of the following provisions:

a) In case the modified and supplemented report does not meet the requirements, the agency assigned to manage healthcare must notify the medical examination and treatment facility according to the provision of Clause 3 of this Article.

Within six months from the date the agency assigned to manage healthcare issues a notification of modification or supplementation, the medical examination and treatment facility must submit the modified and supplemented report according to the request. If the medical examination and treatment facility does not modify or supplement after this period, or if the supplementary report does not meet the requirements twelve months from the date of the first submission, the submitted file will lose its validity;

b) In case there is no request for modification or supplementation of the modified and supplemented report, the health management agency shall implement according to the provision of Clause 2 of this Article.

5. After evaluating the medical examination and treatment facility, the Ministry of National Defense and the Ministry of Public Security shall be responsible for implementing one of the following provisions:

a) Issue a decision to terminate the suspension within fifteen days from the date of completion of the on-site evaluation if the rectification has met the requirements;

b) Issue a notice regarding the contents that need to be rectified or repaired within five working days from the date of completion of the on-site evaluation for cases requiring rectification or repair.

Within six months from the date the Ministry of National Defense and the Ministry of Public Security issue a notice regarding the contents that need to be rectified or repaired, if the medical examination and treatment facility does not complete the rectification or repair, the submitted file will lose its validity.

6. Within twenty days from the date of receipt of the report and evidence proving the completion of rectification or repair by the medical examination and treatment facility, the licensing authority shall be responsible for implementing the procedures as stipulated in Clause 2 of this Article.

Article 32. Documents and Procedures for Permitting Medical Examination and Treatment Facilities to Continue Operations After Suspension

1. The application documents for permitting medical examination and treatment facilities to continue professional operations include:

a) A request form for continuing medical examination and treatment activities according to Model No. 05 Appendix II attached to this Decree;

b) A report on the rectification of professional errors or measures taken to ensure the conditions prescribed in Articles 18, 19, 20, 21, 22, 23, and 24 of this Decree (depending on the organizational form of the medical examination and treatment facility), confirmed by the subordinate unit of the Ministry of National Defense or the Ministry of Public Security, along with related documents.

2. Procedures for permitting medical examination and treatment facilities to continue professional operations:

a) The medical examination and treatment facility shall directly send or through postal service or electronic environment one set of documents specified in Clause 1 of this Article to the main unit under the Ministry of National Defense or the medical facility under the Public Security unit or local public security department of the Ministry of Public Security.

In case the documents are valid, within fifteen days from the date of receipt of the documents, the main unit under the Ministry of National Defense or the medical facility under the Public Security unit or local public security department of the Ministry of Public Security shall compile a list and send it to the agency assigned to manage healthcare together with the application documents of the facility and a letter of request from the head of the unit at the brigade level or higher.

In case the documents are invalid, within fifteen days from the date of receipt of the documents, the main unit under the Ministry of National Defense or the medical facility under the Public Security unit or local public security department of the Ministry of Public Security or the agency assigned to manage healthcare must issue a reply to the unit that submitted the documents, specifying the specific reasons for invalidity, and requesting modifications or supplements to the documents in the application;

b) Within ten days from the date of receipt of valid documents, the agency assigned to manage healthcare shall review the documents and report to the competent authority to decide on permitting the medical examination and treatment facility to continue professional operations; if not permitted to continue operations, a reply must be issued stating the reasons;

c) Within ten days from the date of receipt of the proposal from the agency assigned to manage healthcare, the competent authority shall issue a decision permitting the medical examination and treatment facility to continue professional operations; if not permitted to continue operations, a reply must be issued stating the reasons.

Article 33. Procedure for Revoking Practice Licenses

1. In cases prescribed in Points a, b, c, and d Clause 1 Article 35 of the Law on Medical Examination and Treatment:

a) Agencies, organizations, and individuals who discover that a practitioner falls under the category requiring revocation of their practice license must notify the agency assigned to manage health matters.

b) The agency assigned to manage health matters shall be responsible for verifying the files, documents, and information provided by agencies, organizations, and individuals, and reporting to the competent authority to make a decision.

c) The decision to revoke the practice license shall be made according to Model No. 02a or Model No. 02b attached as Appendix V to this Decree.

2. In cases prescribed in Point d Clause 1 Article 35 of the Law on Medical Examination and Treatment:

The Ministry of National Defense and the Ministry of Public Security shall be responsible for issuing decisions to revoke the practice licenses of practitioners within five working days from the date of receipt of notifications or service of documents by competent authorities regarding the prohibition of practice as stipulated in Clauses 1, 2, 3, 4, and 6 Article 20 of the Law on Medical Examination and Treatment.

3. In cases prescribed in Points e and g Clause 1 Article 35 of the Law on Medical Examination and Treatment, established by the Professional Council of medical examination and treatment facilities in accordance with Point a Clause 4 Article 101 of the Law on Medical Examination and Treatment:

a) Within five working days from the date of conclusion, the Chairman of the Professional Council shall be responsible for signing a document sent to the medical examination and treatment facility.

b) Within five working days from the date of receipt of the document from the Chairman of the Council, the medical examination and treatment facility shall be responsible for reporting to the higher-level Military Health Department or the affiliated healthcare facility of the public security unit or local public security department by means of a written document, clearly stating the reasons for requesting the revocation of the practice license.

c) Within five working days from the date of receipt of the document from the medical examination and treatment facility, the affiliated military unit or the affiliated healthcare facility of the public security unit or local public security department shall report in writing to the agency assigned to manage health matters.

d) Within five working days from the date of receipt of the document, the agency assigned to manage health matters shall report to the Ministry of National Defense and the Ministry of Public Security to issue a decision to revoke the practice license.

đ) Within five working days from the date of receipt of the report from the agency assigned to manage health matters, the Ministry of National Defense and the Ministry of Public Security shall issue a decision to revoke the practice license. The content of the decision to revoke must be based on the conclusion of the Professional Council.

4. In cases prescribed in Points e and g Clause 1 Article 35 of the Law on Medical Examination and Treatment, established by the Professional Council of the state management agency directly managing the medical examination and treatment facility in accordance with Point b Clause 4 Article 101 of the Law on Medical Examination and Treatment:

a) Within five working days from the date of conclusion, the Chairman of the Professional Council shall be responsible for signing a document sent to the agency assigned to manage health matters, clearly stating the reasons for requesting the revocation of the practice license.

In cases where the Professional Council is established by the Ministry of Health, the Chairman of the Professional Council shall sign a document to report to the Ministry of Health to issue a decision to revoke the practice license and notify the agency assigned to manage health matters.

b) Within five working days from the date of receipt of the document requesting the revocation of the practice license from the Chairman of the Professional Council as stipulated in Subpoint a of this clause, the agency assigned to manage health matters shall be responsible for reporting to the Ministry of National Defense and the Ministry of Public Security to issue a decision to revoke the practice license.

c) Within five working days from the date of receipt of the report from the agency assigned to manage health matters, the Ministry of National Defense and the Ministry of Public Security shall issue a decision to revoke the practice license. The content of the decision to revoke must be based on the conclusion of the Professional Council.

5. In cases prescribed in Point h Clause 1 Article 35 of the Law on Medical Examination and Treatment:

a) Within five working days from the date of receipt of the document concluding that a practitioner has violated professional ethics to the extent that they must be suspended from practice for the second time during the validity period of their practice license, the agency assigned to manage health matters shall be responsible for reporting to the Ministry of National Defense and the Ministry of Public Security to issue a decision to revoke the practice license.

b) Within five working days from the date of receipt of the report from the agency assigned to manage health matters, the Ministry of National Defense and the Ministry of Public Security shall issue a decision to revoke the practice license. The content of the decision to revoke must be based on the conclusion of the Professional Council.

6. In cases prescribed in Point i Clause 1 Article 35 of the Law on Medical Examination and Treatment:

The agency assigned to manage health matters shall be responsible for receiving applications and practice licenses provided by individuals; reporting to the competent authority to issue a decision to revoke the practice license and a confirmation document issued by the licensing authority within the people's armed forces specifying the license number, issuance date, issuing authority, personal information, professional title, and scope of practice.

7. Within ten days from the date of issuance of the decision to revoke, the agency assigned to manage health matters shall be responsible for:

a) Sending the decision to the practitioner and the medical examination and treatment facility managing the practitioner.

b) Implementing the cancellation of the registration of the practitioner's practice on the information system for managing medical examination and treatment activities.

c) Notifying all medical examination and treatment facilities of the Ministry of National Defense or the Ministry of Public Security about the decision to revoke the practitioner's practice license.

Article 34. Handling after revocation of practice permit

1. In cases where the practice permit is revoked due to non-compliance with regulations on the application for issuance of a practice permit as stipulated in point a, Clause 1, Article 35 of the Law on Medical Examination and Treatment: The person whose permit was revoked must complete and resubmit the application for issuance of a practice permit.

a) If the person whose practice permit was revoked submits the application for issuance of a practice permit within twenty-four months from the date of the decision to revoke, they will be reissued the practice permit without having to undergo practical training again;

b) If the person whose practice permit was revoked submits the application for issuance of a practice permit between twenty-four months and sixty months from the date of the decision to revoke, they must complete the practical training before proceeding with the procedures to request the reissuance of the practice permit as stipulated in Clause 5, Article 9 of this Decree;

c) If the person whose practice permit was revoked submits the application for issuance of a practice permit more than sixty months from the date of the decision to revoke, they must complete the practical training and be assessed for their professional competence through a medical examination and treatment capability assessment before proceeding with the procedures to request the issuance of a new practice permit as stipulated in Clause 5, Article 8 of this Decree.

2. In cases where the practice permit is revoked due to falsification of documents in the application for issuance of a practice permit as stipulated in point b, Clause 1, Article 35 of the Law on Medical Examination and Treatment (including cases of falsifying graduation certificates or confirmation of completion of practical training submitted for participation in a medical examination and treatment capability assessment):

a) If there is falsification of a certificate or confirmation of passing the medical examination and treatment capability assessment in the application for issuance of a practice permit, the person may only submit an application for issuance of a new practice permit at least five years from the date of the decision to revoke the practice permit;

b) If there is falsification of other documents in the application for issuance of a practice permit, the person may only submit an application for issuance of a new practice permit three years from the date of the decision to revoke the practice permit.

3. In cases where the practice permit is revoked due to incorrect assignment of professional title or scope of practice in the practice permit compared to the application for issuance of a practice permit as stipulated in point c, Clause 1, Article 35 of the Law on Medical Examination and Treatment: The person whose practice permit was revoked shall proceed with the procedures to request issuance of a practice permit.

a) If the person whose practice permit was revoked submits the application for issuance of a practice permit within twenty-four months from the date of the decision to revoke, they will be reissued the practice permit without having to undergo practical training again;

b) If the person whose practice permit was revoked submits the application for issuance of a practice permit between twenty-four months and sixty months from the date of the decision to revoke, they must complete the practical training before proceeding with the procedures to request the reissuance of the practice permit;

c) If the person whose practice permit was revoked submits the application for issuance of a practice permit more than sixty months from the date of the decision to revoke, they must complete the practical training and be assessed for their professional competence through a medical examination and treatment capability assessment before proceeding with the procedures to request the issuance of a new practice permit.

4. In cases where the practice permit is revoked as stipulated in point d, Clause 1, Article 35 of the Law on Medical Examination and Treatment:

a) Within thirty-six months from the effective date of the decision to revoke the practice permit, if the person whose practice permit was revoked completes the practical training as stipulated in Clause 1, Article 16 of this Decree, they may proceed with the procedures to reissue the practice permit as stipulated in Clause 5, Article 9 of this Decree;

b) After thirty-six months from the effective date of the decision to revoke the practice permit, if the person whose practice permit was revoked has not completed the practical training as stipulated in point a of this clause, they must follow the procedures to issue a new practice permit as stipulated in Clause 5, Article 8 of this Decree.

5. In cases where the practice permit is revoked as stipulated in one of points e or h, Clause 1, Article 35 of the Law on Medical Examination and Treatment, the person must complete the practical training and be assessed as competent through a medical examination and treatment capability assessment before proceeding with the procedures to request the issuance of a new practice permit as stipulated in Clause 5, Article 8 of this Decree.

6. In cases where the practice permit is revoked as stipulated in one of points g, Clause 1, Article 35 of the Law on Medical Examination and Treatment, the person may only submit an application for issuance of a new practice permit twelve months from the date of the decision to revoke the practice permit.

7. In cases where the practice permit is revoked as stipulated in point i, Clause 1, Article 35 of the Law on Medical Examination and Treatment:

a) If the person whose practice permit was revoked submits the application for reissuance of a practice permit within twenty-four months from the date of the decision to revoke, they will be reissued the practice permit without having to undergo practical training;

b) If the person whose practice permit was revoked submits the application for issuance of a practice permit between twenty-four months and sixty months from the date of the decision to revoke, they must complete the practical training before proceeding with the procedures to request the reissuance of the practice permit;

c) If the person whose practice permit was revoked submits the application for issuance of a practice permit more than sixty months from the date of the decision to revoke, they must complete the practical training and be assessed for their professional competence through a medical examination and treatment capability assessment before proceeding with the procedures to request the issuance of a new practice permit.

Article 35. Procedure for Revoking the Operating Permit of Medical Examination and Treatment Facilities

1. Within five working days from the date of the conclusion of the specialized council specified in Article 101 of the Law on Medical Examination and Treatment or the inspection report determining that the medical examination and treatment facility has violated to the extent that it must have its operating permit revoked as stipulated in Clause 1, Article 56 of the Law on Medical Examination and Treatment, the competent authority shall issue a decision to revoke the operating permit according to Model No. 03a or Model No. 03b attached as Appendix V to this Decree.

2. Within five working days from the date of receipt of the decision to revoke the operating permit, the medical examination and treatment facility must submit the original operating permit to the agency responsible for health management.

3. The agency issuing the decision to revoke the operating permit shall notify in writing the People's Committee of the province and the Department of Health where the medical examination and treatment facility is located within five working days from the date the decision to revoke the operating permit takes effect; publish information about the revocation of the operating permit on the Ministry of National Defense’s and Ministry of Public Security’s electronic portal.

4. The medical examination and treatment facility whose operating permit has been revoked must reapply for a new operating permit according to the provisions of Article 27 of this Decree.

Chapter V

SPECIALIZATION RANKING; QUALITY ASSESSMENT OF MEDICAL EXAMINATION AND TREATMENT FACILITIES UNDER THE PEOPLE'S ARMED FORCES

Article 36. Provisions and Criteria for Specialization Ranking and Technical Expertise Classification of Medical Examination and Treatment Facilities

1. Provisions on ranking medical examination and treatment facilities based on technical expertise levels

a) Primary level includes medical examination and treatment facilities without inpatient beds.

b) Basic and advanced level includes infirmaries and hospitals.

2. Criteria for specialization ranking

a) Group of criteria regarding service provision capacity and scope of professional activities: Capacity to perform the highest techniques in each specialty; capacity to establish clinical quality standards and conduct clinical quality assessments; postgraduate degrees and qualifications of department heads and deputy department heads.

b) Group of criteria regarding capacity to participate in medical training: Capacity to develop postgraduate training materials for specialties; capacity to participate in and implement practical training at college, university, and postgraduate levels in the health sector; academic titles of recognized professors and associate professors involved in training.

c) Group of criteria regarding capacity to support, transfer technology, and provide professional guidance to other medical examination and treatment facilities: Number of technology transfers to other medical examination and treatment facilities; number of healthcare professionals participating in supporting other hospitals; number of leading experts participating in professional guidance and consultations.

d) Group of criteria regarding scientific research capacity in medicine: Leading national, ministry, provincial, and institutional science and technology tasks and initiatives; leading domestic and international scientific articles; leading clinical trials and application of medical technologies; organizing domestic and international scientific conferences and seminars.

3. Documents for requesting technical expertise classification

a) Request letter for classification from the main unit under the Ministry of National Defense or healthcare facilities under the local public security organs of the Ministry of Public Security.

b) Self-assessment score sheet according to the criteria specified in Clause 1 of this Article.

c) Supporting documents and statistical data proving the scores achieved.

d) Other related documents.

4. Procedures for technical expertise classification

a) The medical examination and treatment facility requesting classification shall prepare one set of documents as specified in Clause 2 of this Article and send them directly, through postal services, or via electronic means to the main unit under the Ministry of National Defense or healthcare facilities under the local public security organs of the Ministry of Public Security. In cases where the medical examination and treatment facility is the main unit under the Ministry of National Defense or the Ministry of Public Security, the facility shall send the documents directly, through postal services, or via electronic means to the agency responsible for health management.

b) If the documents are valid, within fifteen days from the date of receipt of the documents, the main unit under the Ministry of National Defense or healthcare facilities under the local public security organs of the Ministry of Public Security shall compile a list and send it along with the medical examination and treatment facility's request documents and the head of the unit's request letter to the agency responsible for health management.

If the documents are not valid, within fifteen days from the date of receipt of the documents, the main unit under the Ministry of National Defense or healthcare facilities under the local public security organs of the Ministry of Public Security or the agency responsible for health management must reply in writing to the submitting unit, specifying the reasons for non-compliance, requesting corrections or additional documents in the request. The time for correcting or supplementing documents in the request will not be counted towards the processing period.

c) Within fifteen days from the date of receipt of valid documents, the agency responsible for health management shall review the documents and complete the procedures to submit to the competent authority for technical expertise classification.

d) Within thirty days from the date of receipt of the submission from the agency responsible for health management, the competent authority shall issue a decision on technical expertise classification.

e) Within five working days from the date of classification, the agency responsible for health management shall notify in writing the Ministry of Health, the People's Committee of the province, and the Department of Health where the medical examination and treatment facility is located; publish information about the technical expertise classification on the Ministry of National Defense’s and Ministry of Public Security’s electronic portal or their own website and on the system for managing medical examination and treatment activities.

5. Authority for technical expertise classification

a) The Ministry of National Defense shall classify technical expertise for medical examination and treatment facilities under its management.

b) The Ministry of Public Security shall classify technical expertise for medical examination and treatment facilities under its management.

Article 37. Evaluation and certification of quality of medical examination and treatment facilities

1. Evaluation of basic quality standards of medical examination and treatment facilities

a) Annually, medical examination and treatment facilities shall organize self-evaluation of quality in accordance with Clause 1 of Article 57 of the Medical Examination and Treatment Law and submit the self-evaluation results to the agency assigned to manage healthcare.

b) The results of quality evaluation must be publicly posted on the electronic portal of the Ministry of National Defense, the Ministry of Public Security, or on the electronic information page of the agency assigned to manage healthcare, and on the system for managing medical examination and treatment activities.

c) Based on the self-evaluation results announced by the medical examination and treatment facility, the agency assigned to manage healthcare shall select facilities for re-evaluation.

2. Evaluation of enhanced quality standards for medical examination and treatment facilities, quality standards for each specialty or technical service issued by the Ministry of Health shall be implemented as follows:

a) The agency assigned to manage healthcare shall conduct quality evaluation of medical examination and treatment facilities according to enhanced quality assessment standards or quality standards for each specialty or technical service issued by the Ministry of Health, following the internal procedures of the agency assigned to manage healthcare.

b) The results of quality evaluation shall be publicly posted on the electronic portal of the Ministry of National Defense, the Ministry of Public Security.

3. Evaluation of enhanced quality standards for medical examination and treatment facilities, quality standards for each specialty or technical service recognized by the Ministry of Health shall be implemented as follows:

a) The agency assigned to manage healthcare shall conduct quality evaluation of medical examination and treatment facilities according to enhanced quality assessment standards or quality standards for each specialty or technical service recognized by the Ministry of Health, following the internal procedures of the agency assigned to manage healthcare.

b) The results of quality evaluation shall be publicly posted on the electronic portal of the Ministry of National Defense, the Ministry of Public Security.

Chapter VI

GUIDELINES FOR IMPLEMENTATION OF PROVISIONS ON TRANSITION AND HANDOVER RELATED TO PRACTICE LICENSES

Article 38. Transition for practice, professional certificates, and conversion of professional certificates issued under the Medical Examination and Treatment Law No. 40/2009/QH12

1. Individuals who have commenced practice before January 1, 2024 but have not completed it may choose to continue practice according to one of the following provisions:

a) Continue practicing in accordance with the Medical Examination and Treatment Law No. 40/2009/QH12 and its implementing regulations. The practice results can be used to apply for a practice license, with the scope of practice as stipulated in the Medical Examination and Treatment Law No. 40/2009/QH12.

b) Practice according to this Decree.

2. From January 1, 2024, professional certificates issued under the Medical Examination and Treatment Law No. 40/2009/QH12 and its implementing regulations shall continue to be used as practice licenses until converted in accordance with Clause 3 of this Article, with the scope of practice as recorded in the professional certificate.

3. Conversion of professional certificates into practice licenses shall be carried out as follows:

a) Starting from January 1, 2030, the validity period of five years shall be applied to professional certificates issued under the Medical Examination and Treatment Law No. 40/2009/QH12 and its implementing regulations.

b) Professional certificates specified in point a of this clause shall expire on January 1, 2035.

c) If wishing to continue practicing, practitioners shall be responsible for renewing their certificates according to Clause 1 of Article 10 of this Decree. Practitioners with professional certificates issued by the Ministry of National Defense who do not practice at military medical facilities shall renew their certificates at the Ministry of Health or the Department of Health.

4. Adjustments, reissuance, suspension, revocation, and post-suspension or revocation handling of individuals holding professional certificates issued under the Medical Examination and Treatment Law No. 40/2009/QH12 shall be converted into practice licenses according to the Medical Examination and Treatment Law No. 15/2023/QH15 and shall be carried out according to the procedures stipulated in Article 49 of this Decree.

5. In cases where individuals holding professional certificates issued under the Medical Examination and Treatment Law No. 40/2009/QH12 wish to convert their certificates into practice licenses before the time specified in Clause 3 of this Article, they must prepare an application and follow the procedures for reissuance as stipulated in Article 49 of this Decree and return the issued professional certificate.

Article 39. Transitional provisions for operating licenses

1. Medical examination and treatment establishments currently operating under operating licenses issued in accordance with the Law on Medical Examination and Treatment No. 40/2009/QH12 and its implementing regulations shall continue to operate under their existing licenses without having to convert to the organizational form prescribed in Law on Medical Examination and Treatment No. 15/2023/QH15 and Clause 4 of this Decree.

In cases where they wish to change to the organizational form prescribed in this Decree, they must follow the procedures for adjusting the operating license as stipulated in Article 26 of this Decree.

2. The conditions for issuing operating licenses for medical examination and treatment establishments specified in point c, Clause 3, Article 18 of this Decree shall be implemented according to the provisions at point a, Clause 5, Article 120 of Law on Medical Examination and Treatment No. 15/2023/QH15.

Article 40. Authority to issue new, adjust, extend, and reissue practice licenses during the transitional period

1. The Ministry of National Defense shall issue new, adjust, extend, and reissue practice licenses for individuals working at medical examination and treatment establishments under the management authority of the Ministry of National Defense.

2. The Ministry of Public Security shall issue new, adjust, extend, and reissue practice licenses for individuals working at medical examination and treatment establishments under the management authority of the Ministry of Public Security.

Article 41. Cases of Issuing New, Reissuing, Extending, and Adjusting Practice Licenses During the Transitional Period

1. Cases of issuing new practice licenses during the transitional period shall be carried out in accordance with the provisions of Clause 1, Article 7 of this Decree.

2. Cases of reissuing practice licenses during the transitional period shall be carried out in accordance with the provisions of Clause 2, Article 7 of this Decree and in cases where practitioners were granted practice certificates before January 1, 2024.

3. Cases of extending practice licenses during the transitional period shall be carried out in accordance with the provisions of Clause 3, Article 7 of this Decree.

Article 42. Requirements for Specialized Training Certificates, Basic Specialized Training Certificates, and Technical Specialty Training Certificates for Medical Examination and Treatment and Clinical Psychology

1. Requirements for specialized training certificates, intern physician certificates, first-level specialized certificates, and second-level specialized certificates in the field of medical examination and treatment issued by domestic training institutions:

a) Issued by a legally recognized training institution in accordance with the law;

b) The minimum training period is 18 months.

2. Requirements for basic specialized training certificates issued by domestic training institutions:

a) Issued by a training institution that has completed at least one corresponding specialized certificate training program or a medical examination and treatment establishment serving as a practical training facility in compliance with Clause 2, Article 10 of Government Decree No. 111/2017/NĐ-CP dated October 5, 2017 on organizing practical training in health education, currently conducting practical training in the corresponding specialty level for the basic specialized training certificate;

b) The training program and materials for the basic specialized training certificate are developed, reviewed, and issued by the training institution or adopted from another institution with written consent; the content, volume of study, and instructors are consistent with the specialized certificate training program of the corresponding specialty and are linked to the specialized training program;

c) The minimum training duration is nine months.

3. Requirements for technical specialty training certificates for medical examination and treatment:

a) Issued by a training institution that has completed at least one corresponding professional title training program or a medical examination and treatment establishment authorized to implement corresponding technical specialties for a minimum period of six months;

b) The program and training materials for the technical professional certificate must be developed, reviewed, and promulgated by the training institution or used from another training institution with its written consent; the content of the program, study load, and instructors must be consistent with the technical procedure list as prescribed by the Ministry of Health.

4. In cases where a specialized training certificate is used to adjust the scope of practice as stipulated in points a, b, or c, Clause 1, Article 47 of this Decree, the start date of the specialized training must be after the issuance of the practice license or practice certificate or the decision to adjust the practice license.

5. For practitioners holding a basic specialized training certificate who wish to adjust the scope of practice as stipulated in points a or b, Clause 1, Article 47 of this Decree, the following conditions must be met:

a) The basic specialized training certificate must have a start date of training after the issuance of the practice license or practice certificate or the adjustment of the practice license;

b) They must complete the corresponding specialty practical training recorded on the basic specialized training certificate as the basis for adjusting the practice license. The total time for the basic specialized training certificate and practical training must be at least eighteen months.

6. The training of certificates and certificates as stipulated in Clauses 1, 2, and 3 of this Article must be publicly announced on the website of the training institution.

Article 43. Conditions for certificates, diplomas, and practical experience to issue a practice permit during the transitional period

1. For the positions of physician, nurse, midwife, medical technician (excluding the position of medical technician with the scope of practice in medical laboratory testing), clinical nutritionist (excluding the position of clinical nutritionist with basic scope of practice), emergency medical technician, clinical psychologist:

a) The diploma for consideration to issue a practice permit shall be implemented according to the provisions of Clause 1, Article 17 of this Decree;

b) The residency physician diploma as prescribed in Clause 1, Article 42 of this Decree;

c) The Level I specialty diploma as prescribed in Clause 1, Article 42 of this Decree;

d) The Level II specialty diploma as prescribed in Clause 1, Article 42 of this Decree;

đ) The master's degree in the field of diagnosis and treatment;

e) The doctoral degree in the field of diagnosis and treatment.

2. For the position of medical assistant:

a) For the position of medical assistant with a general scope of practice: A secondary medical assistant diploma, including a graduation certificate from an educational institution abroad recognized by the Minister of Labor, Invalids, and Social Affairs as equivalent to a college or secondary medical assistant diploma. These diplomas must have been issued before January 1, 2027;

b) For the position of medical assistant with a traditional medicine scope of practice: A secondary traditional medical assistant diploma, including a graduation certificate from an educational institution abroad recognized by the Minister of Labor, Invalids, and Social Affairs as equivalent to a college or secondary traditional medical assistant diploma. These diplomas must have been issued before January 1, 2027.

3. For the position of medical technician with a scope of practice in medical laboratory testing:

a) A secondary medical laboratory technology diploma, including a graduation certificate from an educational institution abroad recognized by the Minister of Labor, Invalids, and Social Affairs as equivalent to a secondary medical laboratory technology diploma;

b) A college medical laboratory technology diploma, including a graduation certificate from an educational institution abroad recognized by the Minister of Labor, Invalids, and Social Affairs as equivalent to a college medical laboratory technology diploma;

c) A bachelor's degree in medical laboratory technology, including a graduation certificate from an educational institution abroad recognized by the Minister of Education and Training as a bachelor's degree in medical laboratory technology;

d) A bachelor's degree in chemistry, biology, or pharmacy (including a graduation certificate from an educational institution abroad recognized by the Minister of Education and Training as a bachelor's degree) and must be accompanied by a certificate or training completion certificate in the specialized field of medical laboratory technology with at least three months of training provided by a medical laboratory technology training institution or a postgraduate diploma in laboratory specialization.

4. For the position of clinical nutritionist with a scope of practice in clinical nutrition:

a) A college nutrition diploma, including a graduation certificate from an educational institution abroad recognized by the Minister of Labor, Invalids, and Social Affairs as equivalent to a college nutrition diploma;

b) A bachelor's degree in nutrition, including a graduation certificate from an educational institution abroad recognized by the Minister of Education and Training as a bachelor's degree in nutrition;

c) The physician diploma as prescribed in Clause 1 of this Article and has a certificate of basic specialty training in nutrition.

Article 44. Conditions for practicing medical examination and treatment to issue a new practice permit

1. The practice for those starting from January 1, 2024 shall be carried out in accordance with the provisions of Article 16 of this Decree, wherein the practice for clinical nutritionists, emergency medical technicians, and clinical psychologists shall be conducted as follows:

a) The duration, location, and content of the practice shall be carried out in accordance with the provisions of Article 16 of this Decree;

b) From January 1, 2024 to December 31, 2026: The person guiding the practice must have at least 36 months of relevant work experience corresponding to the content of the practice guidance;

c) From January 1, 2027: The person guiding the practice must meet the conditions stipulated in point d, Clause 5, Article 16 of this Decree.

2. Provisions regarding certificates confirming completion of the practice period for clinical nutritionists:

a) The certificate confirming completion of the practice period as prescribed in Article 16 of this Decree;

b) A document confirming having served as a clinical nutritionist for at least nine months up to the date of submitting the application for a practice permit at a medical examination and treatment facility where the scope of professional activities includes clinical nutrition services.

3. Quy định về giấy xác nhận hoàn thành quá trình thực hành đối với các chức danh cấp cứu viên ngoại viện:

a) Giấy xác nhận hoàn thành quá trình theo quy định tại Điều 16 Nghị định này;

b) Văn bản xác nhận đã có thời gian làm nhiệm vụ cấp cứu từ 09 tháng trở lên tính đến ngày nộp hồ sơ đề nghị cấp giấy phép hành nghề tại một trong các cơ sở sau đây: Khoa cấp cứu của bệnh viện; cơ sở cấp cứu ngoại viện.

4. Quy định về giấy xác nhận hoàn thành quá trình thực hành đối với các chức danh tâm lý lâm sàng:

a) Giấy xác nhận hoàn thành quá trình thực hành theo quy định tại Điều 16 Nghị định này;

b) Văn bản xác nhận đã có thời gian làm nhiệm vụ tâm lý lâm sàng từ 09 tháng trở lên tính đến ngày nộp hồ sơ đề nghị cấp giấy phép hành nghề tại một trong các cơ sở sau đây: Bệnh viện chuyên khoa tâm thần; bệnh viện có khoa tâm thần hoặc khoa tâm lý lâm sàng hoặc có phạm vi hoạt động chuyên môn tâm lý lâm sàng.

5. Người bắt đầu thực hành từ trước ngày 01 tháng 01 năm 2024 theo quy định của Luật Khám bệnh, chữa bệnh số 40/2009/QH12 được:

a) Áp dụng thời gian thực hành theo quy định tại khoản 1 Điều 16 Nghị định này;

b) Tính thời gian đã thực hành trước ngày 01 tháng 01 năm 2024 để tính tổng thời gian thực hành nhưng phải bảo đảm đạt thời gian thực hành theo quy định tại khoản 1 Điều 16 Nghị định này trước ngày 31 tháng 12 năm 2024.

Điều 45. Hồ sơ đề nghị cấp mới giấy phép hành nghề đối với người hành nghề khám bệnh, chữa bệnh trong giai đoạn chuyển tiếp

1. Đơn đề nghị cấp mới giấy phép hành nghề theo Mẫu số 01 Phụ lục II kèm theo Nghị định này.

2. Một trong các giấy tờ sau: Văn bằng quy định tại Điều 43 Nghị định này hoặc giấy phép hành nghề do cơ quan, tổ chức có thẩm quyền của nước ngoài cấp đã được Bộ Y tế công nhận.

3. Giấy xác nhận thời gian thực hành theo Mẫu số 03 Phụ lục I kèm theo Nghị định này, trừ các trường hợp sau:

a) Người hành nghề đã hoàn thành chương trình đào tạo chuyên khoa và nộp hồ sơ đề nghị cấp mới chuyên khoa đó trong thời hạn 24 tháng kể từ ngày được cấp văn bằng chuyên khoa;

b) Trường hợp quy định tại điểm b khoản 1 Điều 23 Luật Khám bệnh, chữa bệnh.

4. Sơ yếu lý lịch có xác nhận của thủ trưởng cơ quan, đơn vị công tác từ cấp trung đoàn và tương đương trở lên.

5. Hai ảnh chân dung màu, nền trắng, kích thước 04 cm x 06 cm, được chụp trong thời gian không quá 06 tháng tính đến ngày nộp đơn.

6. Bản chính giấy phép hành nghề đối với trường hợp người hành nghề thay đổi chức danh chuyên môn đã được ghi trên giấy phép hành nghề quy định tại điểm b khoản 1 Điều 30 của Luật Khám bệnh, chữa bệnh.

7. Quyết định thu hồi giấy phép hành nghề đối với một trong các trường hợp quy định tại điểm a, điểm b khoản 1 Điều 7 Nghị định này.

Điều 46. Hồ sơ đề nghị cấp lại, gia hạn giấy phép hành nghề đối với người hành nghề khám bệnh, chữa bệnh trong giai đoạn chuyển tiếp

1. Hồ sơ đề nghị cấp lại giấy phép hành nghề đối với trường hợp quy định tại khoản 2 Điều 7 Nghị định này trong giai đoạn chuyển tiếpthực hiện theo quy định tại Điều 9 Nghị định này.

2. Hồ sơ đề nghị cấp giấy phép hành nghề đối với người hành nghề đã được cấp chứng chỉ hành nghề trước ngày 01 tháng 01 năm 2024:

a) Đơn đề nghị cấp lại giấy phép hành nghề theo Mẫu số 02 Phụ lục II kèm theo Nghị định này;

b) Bản chính chứng chỉ hành nghề đã được cấp trừ trường hợp chứng chỉ hành nghề bị mất;

c) Hai ảnh chân dung màu, nền trắng, kích thước 04 cm x 06 cm, được chụp trong thời gian không quá 06 tháng tính đến ngày nộp đơn.

3. Hồ sơ đề nghị gia hạn giấy phép hành nghề đối với người hành nghề khám bệnh, chữa bệnh bị hết hạn trong giai đoạn chuyển tiếpthực hiện theo quy định tại Điều 10 Nghị định này.

Điều 47. Trường hợp, điều kiện cấp điều chỉnh giấy phép hành nghề trong giai đoạn chuyển tiếp

1. Điều chỉnh giấy phép hành nghề áp dụng đối với các trường hợp sau:

a) Đã được cấp giấy phép hành nghề hoặc chứng chỉ hành nghề trước ngày 01 tháng 01 năm 2024, trong phạm vi hành nghề chưa có chuyên khoa và đề nghị bổ sung thêm chuyên khoa vào phạm vi hành nghề;

b) Đã được cấp giấy phép hành nghề hoặc chứng chỉ hành nghề trước ngày 01 tháng 01 năm 2024, trong phạm vi hành nghề đã có chuyên khoa nhưng đề nghị bổ sung thêm chuyên khoa khác so với chuyên khoa đã được cấp trong phạm vi hành nghề;

c) Đã được cấp giấy phép hành nghề hoặc chứng chỉ hành nghề trước ngày 01 tháng 01 năm 2024, trong phạm vi hành nghề đã có chuyên khoa nhưng đề nghị thay đổi chuyên khoa đã được cho phép hành nghề bằng chuyên khoa khác và không hành nghề theo chuyên khoa đã được cấp trong phạm vi hành nghề trước đó.

2. Điều kiện cấp điều chỉnh giấy phép hành nghề:

a) Đối với trường hợp đã được cấp giấy phép hành nghề hoặc chứng chỉ hành nghề trước ngày 01 tháng 01 năm 2024 nhưng trong phạm vi hành nghề chưa có chuyên khoa và đề nghị bổ sung thêm chuyên khoa vào phạm vi hành nghề phải đáp ứng điều kiện: Có một trong các văn bằng đào tạo theo quy định tại các điểm b, c, d và đ hoặc e khoản 1 Điều 43 Nghị định này hoặc có chứng chỉ đào tạo chuyên khoa cơ bản theo quy định tại khoản 2 Điều 42 Nghị định này tương ứng với chức danh trên giấy phép hành nghề và chuyên khoa đề nghị bổ sung.

 Trường hợp được cấp chứng chỉ chuyên khoa cơ bản thì phải thực hành chuyên khoa tương ứng với chuyên khoa đã được đào tạo ghi trên chứng chỉ chuyên khoa cơ bản đến khi tổng thời gian đào tạo chuyên khoa cơ bản và thời gian thực hành đủ 18 tháng (xác định theo thời điểm bắt đầu đào tạo chuyên khoa cơ bản).

Trường hợp người hành nghề được cấp văn bằng thạc sỹ, tiến sỹ lĩnh vực khám bệnh, chữa bệnh tại các cơ sở đào tạo nước ngoài phải hoàn thành quá trình thực hành theo quy định tại Điều 16 Nghị định này;

b) Đối với trường hợp đã được cấp giấy phép hành nghề hoặc chứng chỉ hành nghề trước ngày 01 tháng 01 năm 2024, trong phạm vi hành nghề đã có chuyên khoa nhưng đề nghị bổ sung thêm chuyên khoa khác so với chuyên khoa đã được cấp trong phạm vi hành nghề phải đáp ứng điều kiện: Có một trong các văn bằng đào tạo theo quy định tại các điểm b, c, d và đ hoặc e khoản 1 Điều 43 Nghị định này hoặc có chứng chỉ đào tạo chuyên khoa cơ bản theo quy định tại khoản 2 Điều 42 Nghị định này tương ứng với chức danh trên giấy phép hành nghề và chuyên khoa đề nghị bổ sung.

Trường hợp được cấp chứng chỉ chuyên khoa cơ bản thì phải thực hành chuyên khoa tương ứng với chuyên khoa đã được đào tạo ghi trên chứng chỉ chuyên khoa cơ bản đến khi tổng thời gian đào tạo chuyên khoa cơ bản và thời gian thực hành đủ 18 tháng (xác định theo thời điểm bắt đầu đào tạo chuyên khoa cơ bản).

Trường hợp người hành nghề được cấp văn bằng thạc sỹ, tiến sỹ lĩnh vực khám bệnh, chữa bệnh tại các cơ sở đào tạo nước ngoài phải hoàn thành quá trình thực hành theo quy định tại Điều 16 Nghị định này;

c) Đối với trường hợp đã được cấp giấy phép hành nghề hoặc chứng chỉ hành nghề trước ngày 01 tháng 01 năm 2024, trong phạm vi hành nghề đã có chuyên khoa nhưng đề nghị thay đổi chuyên khoa phải đáp ứng điều kiện: Có một trong các văn bằng đào tạo theo quy định tại các điểm b, c, d và đ hoặc e khoản 1 Điều 43 Nghị định này tương ứng với chức danh trên giấy phép hành nghề và chuyên khoa đề nghị thay đổi. Trường hợp người hành nghề được cấp văn bằng thạc sỹ, tiến sỹ lĩnh vực khám bệnh, chữa bệnh tại các cơ sở đào tạo nước ngoài phải hoàn thành quá trình thực hành theo quy định tại Điều 16 Nghị định này.

Điều 48. Hồ sơ đề nghị cấp điều chỉnh giấy phép hành nghề đối với người hành nghề khám bệnh, chữa bệnh trong giai đoạn chuyển tiếp

1. Hồ sơ đề nghị bổ sung phạm vi hành nghề đối với trường hợp quy định tại điểm a, điểm b khoản 1 Điều 47 Nghị định này trong giai đoạn chuyển tiếp, bao gồm:

a) Đơn đề nghị theo Mẫu số 03 Phụ lục II kèm theo Nghị định này;

b) Một trong các giấy tờ sau:Văn bằng đào tạo chuyên khoa, văn bằng thạc sỹ, văn bằng tiến sỹ chứng chỉ đào tạo chuyên khoa phù hợp với phạm vi hành nghề đề nghị bổ sung;

c) Giấy xác nhận thời gian thực hành theo Mẫu số 03 Phụ lục I kèm theo Nghị định này đối với trường hợp sử dụng chứng chỉ đào tạo chuyên khoa hoặc văn bằng đào tạo chuyên khoa quá 24 tháng tính từ ngày được cấp đến thời điểm nộp hồ sơ đề nghị điều chỉnh giấy phép hành nghề.

2. Hồ sơ đề nghị thay đổi phạm vi hành nghề trong trường hợp quy định tại điểm c khoản 1 Điều 47 Nghị định này, bao gồm:

a) Đơn đề nghị theo Mẫu số 03 Phụ lục II kèm theo Nghị định này;

b) Một trong các giấy tờ sau: Văn bằng đào tạo chuyên khoa, văn bằng thạc sỹ, văn bằng tiến sỹ chứng chỉ đào tạo chuyên khoa phù hợp với phạm vi hành nghề đề nghị thay đổi và khác với chuyên khoa trong giấy phép hành nghề đã được cấp;

c) Bản chính giấy phép hành nghề khám bệnh, chữa bệnh đã được cấp;

d) Giấy xác nhận thời gian thực hành theo Mẫu số 03 Phụ lục I kèm theo Nghị định này đối với trường hợp sử dụng chứng chỉ đào tạo chuyên khoa hoặc văn bằng đào tạo chuyên khoa quá 24 tháng tính từ ngày được cấp đến thời điểm nộp hồ sơ đề nghị điều chỉnh giấy phép hành nghề.

Điều 49. Thủ tục cấp mới, cấp lại, gia hạn, điều chỉnh giấy phép hành nghề đối với người hành nghề khám bệnh, chữa bệnh trong giai đoạn chuyển tiếp

1. Thủ tục cấp mới giấy phép hành nghề

a) Người đề nghị cấp mới giấy phép hành nghề gửi 01 bộ hồ sơ quy định tại Điều 45 Nghị định này trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Phòng/Ban quân y cấp trên trực tiếp cho tới đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an;

b) Trường hợp hồ sơ hợp lệ, trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phòng, Bộ Công an tổng hợp, lập danh sách gửi trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Cơ quan được giao quản lý về y tế kèm theo hồ sơ đề nghị của người hành nghề và công văn đề nghị của thủ trưởng đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an.

Trường hợp hồ sơ không hợp lệ, trong thời hạn 03 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an hoặc Cơ quan được giao quản lý về y tế phải có văn bản trả lời đơn vị gửi hồ sơ, trong đó nêu cụ thể lý do không hợp lệ, yêu cầu sửa đổi hoặc bổ sung tài liệu có trong hồ sơ đề nghị. Thời gian sửa đổi, bổ sung tài liệu có trong hồ sơ không được tính vào thời hạn giải quyết;

c) Trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ hợp lệ, Cơ quan được giao quản lý về y tế xét duyệt hồ sơ, hoàn thiện thủ tục, trình cấp có thẩm quyền cấp mới giấy phép hành nghề. Trường hợp không cấp mới giấy phép hành nghề thì phải trả lời bằng văn bản và nêu rõ lý do;

d) Trong thời hạn 20 ngày, kể từ ngày nhận được tờ trình của Cơ quan được giao quản lý về y tế,cấp có thẩm quyền ban hành quyết định cấp mới giấy phép hành nghề và trả giấy phép hành nghề cho người hành nghề.

2. Thủ tục cấp lại giấy phép hành nghề

a) Người đề nghị cấp lại giấy phép hành nghề gửi 01 bộ hồ sơ quy định tại Điều 46 Nghị định này trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Phòng/Ban quân y cấp trên trực tiếp cho tới đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an;

b) Trường hợp hồ sơ hợp lệ, trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phònghoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an tổng hợp, lập danh sách gửi trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Cơ quan được giao quản lý về y tế kèm theo hồ sơ đề nghị của người hành nghề và công văn đề nghị của thủ trưởng đơn vị đầu mối trực thuộc Bộ Quốc phòng, Bộ Công an.

Trường hợp hồ sơ không hợp lệ, trong thời hạn 03 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phònghoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an hoặc Cơ quan được giao quản lý về y tế phải có văn bản trả lời đơn vị gửi hồ sơ, trong đó nêu cụ thể lý do không hợp lệ, yêu cầu sửa đổi hoặc bổ sung tài liệu có trong hồ sơ đề nghị. Thời gian sửa đổi, bổ sung tài liệu có trong hồ sơ không được tính vào thời hạn giải quyết;

c) Trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ hợp lệ, Cơ quan được giao quản lý về y tế xét duyệt hồ sơ, hoàn thiện thủ tục, trình cấp có thẩm quyền cấp lại giấy phép hành nghề. Trường hợp không cấp lại giấy phép hành nghề thì phải trả lời bằng văn bản và nêu rõ lý do;

d) Trong thời gian 05 ngày làm việc, kể từ ngày nhận được tờ trình của Cơ quan được giao quản lý về y tế,cấp có thẩm quyền ban hành quyết định cấp lại giấy phép hành nghề và trả giấy phép hành nghề cho người hành nghề.

3. Thủ tục gia hạn giấy phép hành nghề

a) Người đề nghị gia hạn giấy phép hành nghề gửi 01 bộ hồ sơ theo quy định tại Điều 46 Nghị định này trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Phòng/Ban quân y cấp trên trực tiếp cho tới đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an.

Trường hợp bị ốm đau, tai nạn hoặc trường hợp bất khả kháng tại thời điểm nộp hồ sơ gia hạn thì phải có văn bản thông báo cho Cơ quan được giao quản lý về y tế để lùi thời gian nộp hồ sơ cấp giấy phép hành nghề.

Người hành nghề khám bệnh, chữa bệnh được đề nghị lùi thời điểm gia hạn nhiều lần nhưng tổng thời gian lùi thực hiện gia hạn không quá 22 tháng, kể từ ngày giấy phép hành nghề hết hạn.

Người hành nghề khám bệnh, chữa bệnh không hành nghề tại các cơ sở khám bệnh, chữa bệnh thuộc lực lượng vũ trang nhân dân thì thực hiện thủ tục gia hạn tại Bộ Y tế hoặc Sở Y tế;

b) Trường hợp hồ sơ hợp lệ, trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công antổng hợp, lập danh sách gửi trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Cơ quan được giao quản lý về y tế kèm theo hồ sơ đề nghị của người hành nghề và công văn đề nghị của thủ trưởng đơn vị đầu mối trực thuộc Bộ Quốc phònghoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an.

Trường hợp hồ sơ không hợp lệ, trong thời hạn 03 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phònghoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công anhoặc Cơ quan được giao quản lý về y tế phải có văn bản trả lời đơn vị gửi hồ sơ, trong đó nêu cụ thể lý do không hợp lệ, yêu cầu sửa đổi hoặc bổ sung tài liệu có trong hồ sơ đề nghị. Thời gian sửa đổi, bổ sung tài liệu có trong hồ sơ không được tính vào thời hạn giải quyết;

c) Trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ hợp lệ, Cơ quan được giao quản lý về y tế xét duyệt hồ sơ, hoàn thiện thủ tục, trình cấp có thẩm quyền gia hạn giấy phép hành nghề. Trường hợp không gia hạn giấy phép hành nghề thì phải trả lời bằng văn bản và nêu rõ lý do;

d) Trong thời hạn kể từ ngày nhận được tờ trình của Cơ quan được giao quản lý về y tế đến ngày hết hạn ghi trên giấy phép hành nghề, cơ quan cấp giấy phép hành nghề có trách nhiệm thực hiện việc gia hạn hoặc phải trả lời bằng văn bản và nêu rõ lý do nếu không thực hiện việc gia hạn; trường hợp đến ngày hết hạn ghi trên giấy phép hành nghề mà không có văn bản trả lời thì giấy phép hành nghề tiếp tục có hiệu lực theo quy định.

4. Thủ tục điều chỉnh giấy phép hành nghề

a) Người đề nghị cấp điều chỉnh giấy phép hành nghề gửi 01 bộ hồ sơ theo quy định tại Điều 48 Nghị định này trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Phòng/Ban quân y cấp trên trực tiếp cho tới đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an;

b) Trường hợp hồ sơ hợp lệ, trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an tổng hợp, lập danh sách gửi trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử về Cơ quan được giao quản lý về y tế kèm theo hồ sơ đề nghị của người hành nghề và công văn đề nghị của thủ trưởng đơn vị đầu mối trực thuộc Bộ Quốc phòng hoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an.

Trường hợp hồ sơ không hợp lệ, trong thời hạn 03 ngày làm việc, kể từ ngày nhận được hồ sơ, đơn vị đầu mối trực thuộc Bộ Quốc phònghoặc cơ sở y tế trực thuộc Công an đơn vị, địa phương thuộc Bộ Công an hoặc Cơ quan được giao quản lý về y tế phải có văn bản trả lời đơn vị gửi hồ sơ, trong đó nêu cụ thể lý do không hợp lệ, yêu cầu sửa đổi hoặc bổ sung tài liệu có trong hồ sơ đề nghị. Thời gian sửa đổi, bổ sung tài liệu có trong hồ sơ không được tính vào thời hạn giải quyết;

c) Trong thời hạn 05 ngày làm việc, kể từ ngày nhận được hồ sơ hợp lệ, Cơ quan được giao quản lý về y tế xét duyệt hồ sơ, hoàn thiện thủ tục, trình cấp có thẩm quyền điều chỉnh giấy phép hành nghề. Trường hợp không điều chỉnh giấy phép hành nghề thì phải trả lời bằng văn bản và nêu rõ lý do;

d) Trong thời hạn 15 ngày, kể từ ngày nhận được tờ trình của Cơ quan được giao quản lý về y tế,cấp có thẩm quyền ban hành quyết định điều chỉnh giấy phép hành nghề và trả giấy phép hành nghề cho người hành nghề.

Điều 50. Đình chỉ và xử lý sau đình chỉ người hành nghề khám bệnh, chữa bệnh trong giai đoạn chuyển tiếp

1. Thủ tục đình chỉ hành nghề của người hành nghề khám bệnh, chữa bệnh thực hiện theo quy định tại Điều 28 Nghị định này.

2. Xử lý sau đình chỉ người hành nghề khám bệnh, chữa bệnh thực hiện theo quy định tại Điều 29 Nghị định này.

Điều 51. Thu hồi và xử lý sau thu hồi giấy phép hành nghề trong giai đoạn chuyển tiếp

1. Thủ tục thu hồi giấy phép hành nghề thực hiện theo quy định tại Điều 33 Nghị định này.

2. Xử lý sau thu hồi giấy phép hành nghề

a) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm a khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh:

Trường hợp người bị thu hồi giấy phép hành nghề nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời hạn 24 tháng kể từ ngày có quyết định thu hồi thì được cấp lại giấy phép hành nghề mà không phải thực hành lại.

Trường hợp người bị thu hồi giấy phép hành nghề nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời hạn từ 24 tháng đến 60 tháng kể từ ngày có quyết định thu hồi thì phải hoàn thành việc thực hành trước khi thực hiện thủ tục đề nghị cấp lại giấy phép hành nghề.

Trường hợp người bị thu hồi giấy phép hành nghề nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời gian vượt quá 60 tháng kể từ ngày có quyết định thu hồi giấy phép hành nghề thì phải hoàn thành việc thực hành trước khi thực hiện thủ tục đề nghị cấp mới giấy phép hành nghề;

b) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm b khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh:Trường hợp giả mạo văn bằng hoặc giấy xác nhận hoàn thành quá trình thực hành trong hồ sơ đề nghị cấp giấy phép hành nghề: tối thiểu 05 năm kể từ ngày có quyết định thu hồi giấy phép hành nghề.

Trường hợp giả mạo các giấy tờ khác trong hồ sơ đề nghị cấp giấy phép hành nghề: 03 năm kể từ ngày có quyết định thu hồi giấy phép hành nghề;

c) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm c khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh: Người có giấy phép hành nghề bị thu hồi phải thực hiện lại thủ tục đề nghị cấp giấy phép hành nghề.

Trường hợp người bị thu hồi giấy phép hành nghề nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời hạn 24 tháng kể từ ngày có quyết định thu hồi thì được cấp lại giấy phép hành nghề mà không phải thực hành lại.

Trường hợp người bị thu hồi giấy phép hành nghề nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời hạn từ 24 tháng đến 60 tháng kể từ ngày có quyết định thu hồi thì phải hoàn thành việc thực hành trước khi thực hiện thủ tục đề nghị cấp lại giấy phép hành nghề.

Trường hợp người bị thu hồi giấy phép hành nghề nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời gian vượt quá 60 tháng kể từ ngày có quyết định thu hồi thì phải hoàn thành việc thực hành trước khi thực hiện thủ tục đề nghị cấp mới giấy phép hành nghề;

d) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm d khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh và hoàn thành thực hành theo quy định tại khoản 1 Điều 16 Nghị định này trong thời gian 36 tháng, kể từ ngày quyết định thu hồi giấy phép hành nghề có hiệu lực thi hành,người hành nghề phải thực hiện quy trình cấp lại giấy phép hành nghề theo quy định tại Điều 49Nghị định này;

đ) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm d khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh và không hoàn thành thực hành theo quy định tại khoản 1 Điều 16 Nghị định này trong thời hạn 36 tháng, kể từ ngày quyết định thu hồi giấy phép hành nghề có hiệu lực thi hành, người hành nghề phải thực hiện quy trình cấp mới giấy phép hành nghề theo quy định tại Điều 49Nghị định này;

e) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại một trong các điểm e, điểm h khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh, người hành nghề phải hoàn thành thực hành theo quy định tại khoản 1 Điều 16 Nghị định này và thực hiện thủ tục đề nghị cấp mới giấy phép hành nghề theo quy định tại Điều 49Nghị định này;

g) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại một trong các điểm g khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh chỉ được nộp hồ sơ đề nghị cấp mới giấy phép hành nghề sau 12 tháng, kể từ ngày có quyết định thu hồi giấy phép hành nghề;

h) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm i khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh và nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời hạn 24 tháng, kể từ ngày quyết định thu hồi giấy phép hành nghề có hiệu lực thi hành, người hành nghề thực hiện thủ tục đề nghị cấp lại giấy phép hành nghề theo quy định tại Điều 49Nghị định mà không phải thực hành;

i) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm i khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh và nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời hạn từ 24 tháng đến 60 tháng, kể từ ngày quyết định thu hồi giấy phép hành nghề có hiệu lực thi hành, người hành nghề phải hoàn thành thực hành quy định tại khoản 1 Điều 16 Nghị định này trước khi thực hiện thủ tục đề nghị cấp lại giấy phép hành nghề theo quy định tại Điều 49Nghị định này;

k) Đối với trường hợp giấy phép hành nghề bị thu hồi theo quy định tại điểm i khoản 1 Điều 35 của Luật Khám bệnh, chữa bệnh và nộp hồ sơ đề nghị cấp giấy phép hành nghề trong thời hạn vượt quá 60 tháng, kể từ ngày quyết định thu hồi giấy phép hành nghề có hiệu lực thi hành, người hành nghề phải hoàn thành thực hành theo quy định tại khoản 1 Điều 16 Nghị định này và được đánh giá đủ năng lực hành nghề qua kiểm tra đánh giá năng lực hành nghề khám bệnh, chữa trước khi thực hiện thủ tục đề nghị cấp mới giấy phép hành nghề.

Điều 52. Quy định về phân cấp chuyên môn kỹ thuật trong giai đoạn chuyển tiếp

Cơ sở khám bệnh, chữa bệnh theo hình thức tổ chức là bệnh viện hoặc bệnh xá đã được cấp giấy phép hoạt động trước ngày 01 tháng 01 năm 2024 phải thực hiện thủ tục đề nghị xếp cấp để được xếp cấp trước ngày 01 tháng 01 năm 2025. Việc xếp cấp chuyên môn được thực hiện như sau:

1. Trường hợp thời hạn tính từ ngày được cấp giấy phép hoạt động đến thời điểm đề nghị thực hiện thủ tục chưa đủ 02 năm thì chỉ cần nộp văn bản đề nghị xếp cấp theo quy định tại điểm a khoản 3 Điều 36 Nghị định này. Trong thời hạn 15 ngày, kể từ ngày nhận được văn bản đề nghị của cơ sở khám bệnh, chữa bệnh, Bộ Quốc phòng, Bộ Công an ban hành văn bản tạm xếp cơ sở khám bệnh, chữa bệnh đó vào cấp cơ bản. Thời gian tạm xếp cấp là 02 năm, kể từ ngày ghi trên quyết định tạm xếp cấp. Trong thời hạn 60 ngày, trước khi hết thời hạn tạm xếp cấp, cơ sở khám bệnh, chữa bệnh phải nộp hồ sơ để thực hiện thủ tục xếp cấp chuyên môn kỹ thuật theo quy định tại khoản 3 Điều 36 Nghị định này.

2. Trường hợp thời hạn tính từ ngày được cấp giấy phép hoạt động đến thời điểm đề nghị thực hiện thủ tục từ 02 năm trở lên thì phải nộp hồ sơ và thực hiện thủ tục theo quy định tại khoản 3 Điều 36 Nghị định này. Kết quả xếp cấp được áp dụng từ ngày 01 tháng 01 năm 2025.

Điều 53. Quy định chuyển tiếp liên quan đến hệ thống thông tin về quản lý hoạt động khám bệnh, chữa bệnh

1. Từ ngày 01 tháng 01 năm 2024 đến hết ngày 31 tháng 12 năm 2026, Bộ trưởng Bộ Quốc phòng, Bộ trưởng Bộ Công an chỉ đạo các cơ quan, đơn vị thực hiện việc đăng tải các tài liệu hồ sơ, thông tin, thông báo, danh sách người hành nghề khám bệnh, chữa bệnh và cơ sở khám bệnh, chữa bệnh thuộc lực lượng vũ trang nhân dân quy định tại khoản 2 Điều này lên hệ thống thông tin điện tử, cổng thông tin điện tử của cơ quan, đơn vị.

2. Các tài liệu, hồ sơ, thông tin, thông báo, danh sách phải đăng tải lên hệ thống thông tin về quản lý hoạt động khám bệnh, chữa bệnh trong Bộ Quốc phòng, Bộ Công an quy định tại Nghị định này bắt đầu thực hiện từ ngày 01 tháng 01 năm 2027.

Chương VII

ĐIỀU KHOẢN THI HÀNH

Điều 54. Hiệu lực thi hành

1. Nghị định này có hiệu lực thi hành từ ngày 16 tháng 02 năm 2024.

2. Nghị định số 50/2019/NĐ-CP ngày 07 tháng 6 năm 2019 của Chính phủ quy định cấp chứng chỉ hành nghề và cấp giấy phép hoạt động đối với cơ sở khám bệnh, chữa bệnh trong Quân đội hết hiệu lực kể từ ngày Nghị định này có hiệu lực thi hành.

3. Các thủ tục hành chính quy định tại Nghị định này được thực hiện bằng cách thức trực tiếp hoặc qua đường bưu chính hoặc trên môi trường điện tử theo quy định của pháp luật về thực hiện thủ tục hành chính trên môi trường điện tử khi đáp ứng đủ điều kiện.

Điều 55. Trách nhiệm thi hành

1. Bộ trưởng Bộ Quốc phòng, Bộ trưởng Bộ Công an hướng dẫn, tổ chức thực hiện Nghị định này.

2. Các Bộ trưởng, Thủ trưởng cơ quan ngang bộ, Thủ trưởng cơ quan thuộc Chính phủ, Chủ tịch Ủy ban nhân dân tỉnh, thành phố trực thuộc trung ương chịu trách nhiệm thi hành Nghị định này.