Decision No. 4069/QD-BYT Issuing Medical Record Forms

Decision No. 4069/QD-BYT issues medical record forms to be used in state-owned, semi-state, privately established, private, and foreign-invested healthcare facilities. These forms will be implemented upon effectiveness and replace previous decisions.

Document No.4069/QĐ-BYT
Document typeDecision
Issuing authorityMinistry of Health
Signed byLê Ngọc Trọng — Thứ trưởng
Updated18/06/2026
SectorHealth
Issued date28/09/2001
Effective date13/10/2001
Expiry date
StatusIn effect
✦ Smart summary

Decision No. 4069/QD-BYT issues medical record forms to be used in state-owned, semi-state, privately established, private, and foreign-invested healthcare facilities. These forms will be implemented upon effectiveness and replace previous decisions.

Scope of application

State-owned, semi-state, privately established, private, and foreign-invested healthcare facilities

Key points

  • Hospitals must use medical record forms issued by the Ministry of Health (Article 1).
  • Specialized hospitals may supplement necessary contents into these forms after obtaining approval from the Minister of Health (Article 2).
  • The Director of the Department of Treatment at the Ministry of Health is responsible for guiding and supervising the implementation of medical record forms at hospitals nationwide (Article 3).
  • This decision takes effect fifteen days from the date of issuance and replaces Decision No. 1333/1999/BYT-QD.

🌐 Social impact of this document

  • To unify medical record forms in healthcare facilities, improve management and treatment quality.
  • Specialized hospitals may supplement necessary contents into medical record forms after obtaining approval from the Minister of Health.

❓ Frequently asked questions

What facilities does this decision apply to?

It applies to state-owned, semi-state, privately established, private, and foreign-invested healthcare facilities.

What can specialized hospitals add to the medical record forms?

They can add necessary contents after obtaining approval from the Minister of Health.

Which decision does this one replace?

It replaces Decision No. 1333/1999/BYT-QD.

Full text

MINISTRY OF HEALTH

SOCIALIST REPUBLIC OF VIET NAM
Independence – Freedom – Happiness

NUMBER: 4069/QD-BYT
HA NOI, SEPTEMBER 28, 2001

Pursuant to …;

REGARDING THE ISSUANCE OF MEDICAL RECORD FORMS AND TREATMENT CASES

THE MINISTER OF HEALTH

BASED ON THE POPULATION HEALTH PROTECTION LAW,

Pursuant to Decree No. 68/CP dated October 11, 1993 of the Government stipulating the functions, tasks, authorities, and organizational structure of the Ministry of Health,

AT THE REQUEST OF THE DIRECTOR OF THE TREATMENT DEPARTMENT OF THE MINISTRY OF HEALTH,

Pursuant to …;

Article 1. NOW WE ISSUE THE MEDICAL RECORD FORMS AND TREATMENT CASES TO BE USED IN HOSPITALS (ATTACHED ARE THE FORMS).

Article 2. THE FORMS ISSUED WITH THIS DECISION SHALL BE APPLIED IN STATE, SEMI-PUBLIC, PRIVATE, AND FOREIGN-INVESTED MEDICAL ESTABLISHMENTS (COLLECTIVELY REFERRED TO AS HOSPITALS). SPECIALIZED LEADING HOSPITALS MAY SUPPLEMENT NECESSARY CONTENTS INTO THE FORMS AFTER OBTAINING THE AGREEMENT OF THE MINISTER OF HEALTH DUE TO SPECIFIC REQUIREMENTS.

Article 3. THE DIRECTOR OF THE TREATMENT DEPARTMENT OF THE MINISTRY OF HEALTH IS RESPONSIBLE FOR GUIDING AND MONITORING THE IMPLEMENTATION OF THE MEDICAL RECORD FORMS IN HOSPITALS ACROSS THE COUNTRY.

Article 4. THIS DECISION SHALL TAKE EFFECT 15 DAYS FROM THE DATE OF SIGNATURE. THE DECISION NUMBER 1333/1999/BYT-QD OF THE MINISTER OF HEALTH ON THE ISSUANCE OF MEDICAL RECORD FORMS AND TREATMENT CASES FOR USE IN HOSPITALS ON MAY 3, 1999 IS ABROGATED.

Article 5. MR./MS.: DIRECTOR OF THE OFFICE, DIRECTOR OF THE INSPECTION DEPARTMENT, DIRECTOR OF THE TREATMENT DEPARTMENT, DIRECTOR OF THE PLANNING DEPARTMENT, DIRECTORS OF OTHER DEPARTMENTS OF THE MINISTRY OF HEALTH, DIRECTOR OF THE VIETNAM PHARMACEUTICAL MANAGEMENT COUNCIL, DIRECTORS OF HEALTH SERVICES OF PROVINCES AND CENTRALLY-GOVERNED CITIES, DIRECTORS OF HOSPITALS AND INSTITUTES WITH BEDS UNDER THE MINISTRY OF HEALTH, HEADS OF HEALTH SECTORS, PRINCIPALS OF MEDICAL AND PHARMACY UNIVERSITIES AND COLLEGES ARE RESPONSIBLE FOR ENFORCING THIS DECISION./.

 

DEPUTY MINISTER
DEPUTY MINISTER
(Signed)
Le Ngoc Trong
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