Circular No. 46/2016/TT-BQP stipulates the medical technical levels for diagnosis and treatment; registration and transfer of diagnosis and treatment levels for subjects under the management of the Ministry of National Defense.

CIRCULAR

Specifies the professional technical levels for medical examination and treatment;

registration and transfer of medical examination and treatment levels for

subjects under the management of the Ministry of National Defense;intention

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Based on the Medical Examination and Treatment Law;No. stipulating functions, tasks,

Based on the Health Insurance Law No. 25/2008/QH12 dated November 14, 2008 and the Law Amending Certain Provisions of the Health Insurance Law;, amended and supplemented by Decree No. 109/2025/NĐ-CP and Decree No. 193/2025/NĐ-CPPursuant to the Law on Public Investment dated November 29, 2024;No. certain provisions of the Health Insurance Law;No. 13th June 2014;13 dated 13 tháng sáu năm hai thousand fourteen;

Decree No. 87/2011/ND-CP dated September 27, 2011 of the Government detailing and guiding the implementation of certain provisions of the Medical Examination and Treatment Law;"b) In addition to the lists of public services issued according to the provisions of Clause 2, Article 4 of this Decree, specialized agencies under provincial People's Committees shall report to the provincial People's Committee for decision-making on amending, supplementing, or issuing the list of public services funded by the state budget within their jurisdiction and consistent with the local budget capacity within the approved budget by the Provincial People's Assembly, and send it to the Ministry of Finance and relevant ministries and sectors for supervision during implementation."implementation of certain provisions of the Medical Examination and Treatment Law;FUNCTIONS, DUTIES, POWERS, ORGANIZATIONAL STRUCTURE, OPERATIONAL REGULATIONS, AND RELATIONSHIPS OF MANAGEMENT BOARDS; DUTIES, POWERS OF THE CHAIRPERSON, VICE CHAIRPERSON (IF ANY), SECRETARY, AND MEMBERS OF MANAGEMENT BOARDSLaw;12. Leather shoestreatment;

Pursuant to DecreeNo. Decree No. 70/2015/ND-CP dated September 1, 2015 of the Government detailing and guiding the implementation of certain provisions of the Health Insurance Law for the People's Army, the People's Public Security Force, and personneli working in confidential organizations; lDecree No. 35/2013/ND-CP dated April 22, 2013 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of National Defense;

Pursuant to DecreeNo. Considering the proposal of the Director of the Military Hospital Department of the Ministry of National Defense,3 The Minister of National Defense promulgates this Circular to specify the professional technical levels for medical examination and treatment; registration and transfer of medical examination and treatment levels for subjects under the management of the Ministry of National Defense;

This Circular specifies the professional technical levels for medical examination and treatment; the list of medical examination and treatment techniques; guidance and support for professional technical levels; initial health insurance registration for medical examination and treatment and transfer of health insurance registration for medical examination and treatment for officers, non-commissioned officers, warrant officers, soldiers (hereinafter collectively referred to as military personnel), defense workers, civil servants, and personnel working in confidential organizations and medical examination and treatment facilities under the management of the Ministry of National Defense.

1. Medical examination and treatment facilities under the management of the Ministry of National Defense.intention.

PART I

GENERAL PROVISIONS

Article 1. Scope of Regulation

2. Military personnel, defense workers, and civil servants working or studying at agencies and units under the Ministry of National Defense when seeking medical examination and treatment.

Article 2. Applicability

This Circular applies to:

3. Personnel working in confidential organizations receiving salaries equivalent to those of military personnel, students in confidential organizations receiving living expenses, and other personnel working in confidential organizations (hereinafter collectively referred to as personnel working in confidential organizations).

1. Classification of professional technical levels for medical examination and treatment refers to the categorization of medical examination and treatment facilities into groups that are similar in professional expertise and are ranked within a system from high to low.

2. The system of medical examination and treatment facilities under the management of the Ministry of National Defense is divided into four professional technical levels, which are also the health insurance medical examination and treatment levels, including:

Article 3. Explanation of Terms

a) Level 1 equivalent to central-level medical examination and treatment facilities;

b) Level 2 equivalent to provincial-level medical examination and treatment facilities;

c) Level 3 equivalent to district-level medical examination and treatment facilities;

d) Level 4 equivalent to commune-level medical examination and treatment facilities.

3. Registration for medical examination and treatment levels involves units and military medical examination and treatment facilities contacting and registering with higher-level medical examination and treatment facilities to send their sick or injured personnel for medical examination and treatment or to transfer patients according to medical instructions.

4. Initial health insurance registration for medical examination and treatment for insured individuals involves selecting medical examination and treatment facilities according to the provisions of this Circular for examination and treatment.

5. The list of medical examination and treatment techniques includes the names of medical examination and treatment techniques unified according to the general regulations of the Ministry of Health.

PROVISIONS ON PROFESSIONAL TECHNICAL LEVELS

CLASSIFICATION OF PROFESSIONAL TECHNICAL LEVELS

Chapter II

PROVISIONS ON SPECIALIZATION TECHNICAL TRACKS

MEDICAL EXAMINATION AND TREATMENT

Section 1

 ASSIGNMENT TO SPECIALIZATION TECHNICAL TRACKS

MEDICAL EXAMINATION AND TREATMENT

Article 4. Primary Care Facilities - Tuyến 1

1. Special class hospitals.

2. Class I hospitals under the Ministry of National Defense

a) Hospital 175 Military Medical;

b) Military Traditional Medicine Institute.

3. Class I hospitals under the Military Medical Academy

a) Hospital 103 Military Medical;

b) National Burn Institute Le Huu Trac.

Article 5. Secondary Care Facilities - Tuyến 2

1. Class I hospitals under the General Logistics Department

a) Hospital 354 Military Medical;

b) Hospital 105 Military Medical;

c) Hospital 87 Military Medical.

2. Class I hospitals under the General Department of Health: Military Radiotherapy and Oncology Institute.

3. Class I hospitals under military regions and corps

a) Hospital 110 Military Region 1;

b) Hospital 17 Military Region 5;

c) Hospital 7A Military Region 7;

d) Hospital 121 Military Region 9;

e) Hospital 211 Corps 3.

4. Class II military hospitals; Class II military-civilian hospitals.

Article 6. Tertiary Care Facilities - Tuyến 3

1. Military medical stations; military-civilian medical stations.

2. Treatment teams.

3. Class III and Class IV military hospitals or unranked hospitals; military-civilian hospitals.

4. The second facility of hospitals belonging to Tuyến 2 not located on the same district, city, town, provincial city territory.

5. Multi-specialty clinics under preventive healthcare facilities of the Military Class I and Class II.

6. Multi-specialty clinics; specialty clinics; multi-specialty departments directly under hospitals or directly under military regions and equivalent levels.

7. Military-civilian health centers.

8. Government Communication Service Medical Station.

Article 7. Quaternary Care Facilities - Tuyến 4

1. Battalion-level military medical personnel.

2. Military medical personnel in units equivalent to battalion level with doctors and medical assistants including: independent companies, border guard posts, islands without medical stations, warehouses, posts, artillery positions, DK platforms...

3. Military medical personnel in agencies directly under the Ministry of National Defense; military medical personnel in regimental, brigade, divisional agencies; military medical personnel in academies, schools; military medical personnel in defense factories, enterprises...

4. Military medical teams with beds for retention.

5. Military-civilian health stations; military-civilian clinics.

Section 2

REGISTRATION OF TUYCONTENTN, TRANSFERỂN TUYCONTENTN HEALTH CARE

Article 8. Principles of registration and transfer for health care

1. Convenience for military personnel, defense workers, civil servants when seeking medical treatment.

2. Convenience for units in managing manpower and health status.

3. Consistent with the hierarchical levels of the Military Medical System.

4. Consistent with the organizational structure of military units from battalion level to the Ministry of National Defense.

5. Consistent with the location of units.

Article 9. Registration for health care

1. Healthcare facilities at lower levels are responsible for advising unit leaders to complete procedures for registering with higher-level specialized technical healthcare facilities according to the sequence from Tuyến 4 up to Tuyến 1; in cases where the lower and upper levels are adjacent and within the same unit, there is no need to register.

2. Over-registration

a) Over-registration refers to registering for health care outside the prescribed sequence in Clause 1 of this Article, Tuyến 4 registering with Tuyến 2 or Tuyến 1; Tuyến 3 registering with Tuyến 1;

b) Over-registration is decided by commanders at regimental level and above based on the principles set out in Article 8 of this Circular, with the approval of the healthcare facility chosen for registration; military medical personnel in units are responsible for advising unit leaders to choose appropriate levels; higher-level healthcare facilities are responsible for facilitating registration when units come to register for health care.

Article 10. Transfer for medical examination and treatment

1. Transfer for medical examination and treatment from lower levels to higher levels shall be carried out in sequence from level 4 up to level 1. Permission to transfer beyond the designated level is granted in the following cases:

a) Emergency cases in areas where transferring beyond the designated level would be more convenient than transferring to the designated level;

b) Severe acute cases that exceed the treatment capacity of the nearest higher level or require advanced techniques.

2. Transfer for medical examination and treatment from higher levels back to lower levels shall be allowed when the patient has been stabilized but requires further consolidation treatment or at the patient's or their legal representative's request; such transfers may be made to facilities at the same level based on professional requirements or the patient's or their legal representative's wishes.

3. Military personnel who have not joined health insurance, if they undergo medical examination and treatment at civilian healthcare facilities, the cost reimbursement shall be implemented according to Decision No. 105/2008/QĐ-BQP dated July 11, 2008, issued by the Minister of National Defense regarding the reimbursement of costs for medical examination and treatment for military personnel and defense civil servants when undergoing medical examination and treatment at civilian healthcare facilities.

Chapter III

TECHNICAL EXAMINATION AND TREATMENT DIRECTORY; SPECIALIZED TECHNICAL SUPPORT FOR LOWER LEVELS

Article 11. Construction of technical examination and treatment directory

1. Based on the technical directory issued by the Ministry of Health, healthcare facilities shall establish a technical directory suitable for their specialized technical level and actual conditions regarding infrastructure, equipment, human resources, and professional qualifications. The proposed approved technical directory shall apply to each level as follows:

a) Level 1: applies the technical directory equivalent to the central level;

b) Level 2: applies the technical directory equivalent to the provincial or centrally-administered city level;

c) Level 3: applies the technical directory equivalent to the district, urban district, or provincial-level city level;

d) Level 4: applies the technical directory equivalent to the commune, ward, or town level.

2. Healthcare facilities at lower levels are permitted to perform techniques of higher levels when they have received technology transfer and the technique has been approved by the Military Health Administration.

3. Approval of new techniques and techniques not included in the directory prescribed by the Ministry of Health

a) Healthcare facilities must ensure the conditions and procedures as stipulated in Circular No. 07/2015/TT-BYT dated April 3, 2015, issued by the Ministry of Health detailing the conditions and procedures for applying new techniques and methods in medical examination and treatment;

b) The technical directory proposed for approval must be accompanied by a dossier and minutes of the specialized technical committee meeting of the healthcare facility.

Article 12. Approval of technical examination and treatment directory

1. Approval authority

The Director of the Military Health Administration is responsible for approving and supplementing the technical examination and treatment directory, including:

a) Technical directories for levels 1, 2, and 3 are approved separately for each healthcare facility;

b) Technical directories for healthcare facilities at level 4 use a unified directory issued by the Military Health Administration; in cases where units need to expand their scope of specialization, the main military unit under the Ministry of National Defense sends a document requesting the Military Health Administration to approve a separate or supplementary technical directory;

2. Dossier for approval

a) A letter requesting approval from the hospital or the main military unit under the Ministry of National Defense;

b) Minutes of the specialized technical committee meeting;

c) The technical directory proposed for approval or supplementary approval according to the model specified in Appendix 1 of this Circular and accompanied by an electronic version;

d) A dossier describing the healthcare facility's capabilities in terms of infrastructure, human resources, and medical equipment.

3. Implementation Procedures

a) The healthcare facility directly submits one set of the dossier specified in Clause 2 of this Article to the Military Health Administration (for the dossier requesting approval of the technical directory of healthcare facilities at levels 1 and 2) or the main military health unit under the Ministry of National Defense (for the dossier requesting approval of the technical directory of healthcare facilities at levels 3 and 4);

b) Within five working days from the date of receiving the dossier, the receiving agency must review and determine whether the dossier is valid or invalid. In case the dossier is invalid, the receiving agency must issue a notification for the healthcare facility to complete the dossier. The notification must specify the additional documents and contents to be supplemented or modified. The healthcare facility is responsible for supplementing and modifying the dossier according to the notification and resubmitting it to the receiving agency. If the healthcare facility supplements the dossier but does not meet the requirements, they must continue to complete the dossier according to this Clause until it meets the requirements. For the dossier requesting approval of the technical directory of healthcare facilities at levels 3 and 4, after determining the validity of the dossier, the main military health unit under the Ministry of National Defense must send a document with the dossier to the Military Health Administration of the Ministry of National Defense.

c) Within twenty working days from the date of receiving a complete and valid dossier, the competent agency under the Military Health Administration must organize an assessment and submit a decision for approval of the technical directory for the healthcare facility to the Director of the Military Health Administration. The assessment is conducted based on the dossier; in cases where the healthcare facility's expertise exceeds the capability, the Director of the Military Health Administration issues a decision to establish a specialized committee to assess part or all of the technical directory at the healthcare facility.

Article 13. Directing and Supporting Lower Levels in Professional Technical Matters

1. Hospitals at Level 1 shall direct and support hospitals at Level 2.

a) Central Military Hospital 108: assist Level 2 hospitals within the jurisdiction of Military Region 1, Military Region 3, and the Capital Command.

b) Military Hospital 103/Academy of Military Medicine: direct and support Level 2 hospitals within the jurisdiction of Military Region 2, Military Region 4.

c) Military Hospital 175: direct and support Level 2 hospitals within the jurisdiction of Military Region 5, Military Region 7, and Military Region 9.

d) Institute of Traditional Medicine of the Military, National Burn Institute Le Huu Trac: direct and support all military hospitals in traditional medicine and burn specialties.

2. Hospitals at Level 2 shall be responsible for directing and supporting medical clinics at Level 3 under units that have registered for medical examination and treatment at their hospitals.

3. In cases where higher levels provide professional support to lower levels outside their jurisdiction or not according to the designated level, the lower-level unit shall send a letter requesting the Military Health Department to review and decide.

4. Support between healthcare facilities under the same primary unit directly subordinate to the Ministry of National Defense in terms of professional technical matters shall be reviewed and decided by the commanding officer.

5. The Chief Medical Officer of the primary unit directly subordinate to the Ministry of National Defense shall be responsible for directing and organizing training on professional skills for healthcare facilities at Level 4.

6. Units and healthcare facilities at lower levels shall be responsible for closely coordinating and linking with higher-level hospitals in emergency care, treatment, and transfer to improve professional capacity and learn from emergency and treatment experiences.

Article 14. Content of Support in Professional Technical Matters

1. Transfer of technology, improvement of quality in treatment work, especially in surgery, anesthesia, emergency resuscitation, and specialized techniques.

2. Acceptance and organization of in-service training on professional skills and techniques for staff at lower levels upon request from the unit.

3. Training for medical platoons on professional skills to ensure combat readiness and mass casualty collection and emergency care to respond to military situations, natural disasters, and catastrophes.

4. Strengthening professional work routines and systems; experience in organizing medical examinations and treatment.

5. Support for periodic health check-ups and recruitment health examinations for units within the line when requested by the unit.

Chapter IV

REGISTRATION FOR INITIAL HEALTH INSURANCE MEDICAL EXAMINATION AND TREATMENT, TRANSFER FOR HEALTH INSURANCE MEDICAL EXAMINATION AND TREATMENT

Article 15. Registration for Initial Health Insurance Medical Examination and Treatment for Non-Commissioned Officers, Soldiers, and Civilian Trainees Receiving Living Allowance

1. Non-commissioned officers, soldiers, and civilian trainees receiving living allowance may register for initial health insurance medical examination and treatment at healthcare facilities under the management of the unit as stipulated in Articles 6 and 7 of this Circular.

2. Registration for initial health insurance medical examination and treatment at healthcare facilities as stipulated in Articles 6 and 7 of this Circular but not under the management of the unit must be approved by the commander of the battalion-level unit or equivalent.

3. They may register for initial health insurance medical examination and treatment at one of the healthcare facilities specified in Articles 4 and 5 of this Circular or at a civilian healthcare facility at the district or provincial level when:

a) The unit is stationed and the healthcare facility is located within the same district, county, town, or city within a province or adjacent area.

b) Approval is obtained from the commander of the battalion-level unit or equivalent.

Article 16. Registration for initial health examination and treatment under health insurance for individuals receiving salaries at the rank of major or lower equivalent levels.

1. The unit shall prepare a list and register for initial health examination and treatment under health insurance for individuals under its management at one of the medical facilities specified in Articles 5, 6, and 7 of this Circular.

2. They may register for initial health examination and treatment under health insurance at one of the medical facilities specified in Article 4 of this Circular or at one of the commune-level, district-level, provincial-level, or central-level traditional medicine medical facilities when:

a) The unit's location or place of permanent residence and the medical facility are within the same district, county, town, or city within a province or adjacent area;

b) Approval from the commander of the regiment-level unit or higher is obtained.

Article 17. Registration for initial health examination and treatment under health insurance for individuals at the rank of senior major or higher equivalent levels. y initial training for officers of senior colonel rank or equivalent salary level

1. The unit shall prepare a list and register for initial health examination and treatment under health insurance for individuals under its management at one of the medical facilities specified in Articles 4, 5, and 6 of this Circular.

2. They may register for initial health examination and treatment under health insurance at one of the commune-level, district-level, provincial-level, or central-level traditional medicine medical facilities when:

a) The unit's location or place of permanent residence and the medical facility are within the same district, county, town, or city within a province or adjacent area;

b) Approval from the commander of the division-level unit or higher is obtained.

Article 18. Registration for initial health examination and treatment under health insurance for individuals at the rank of general officer.

1. The unit shall prepare a list and register for initial health examination and treatment under health insurance for individuals under its management at one of the medical facilities specified in Articles 4 and 5 of this Circular.

2. They may register for initial health examination and treatment under health insurance at one of the central-level, provincial-level traditional medicine medical facilities, or outpatient clinics under the Provincial/Central City Cadre Health Care Board.

Article 19. Cases Determined to be Within the Same Line for Initial Health Examination and Treatment Under Health Insurance. lto be assigned to health insurance medical examination and treatment facilities

1. Military personnel, defense workers, and employees, and persons working in confidential organizations who have registered for initial health examination and treatment according to the provisions of Clause 1 of Article 15, Clause 1 of Article 16, Clause 1 of Article 17, and Clause 1 of Article 18 may seek health examination and treatment at any military medical facility or lower level if accompanied by a referral letter from their unit determined to be within the same line.

2. In cases where military personnel, defense workers, employees, and persons working in confidential organizations travel on duty or take leave, if they seek health examination and treatment at military or traditional medicine medical facilities within the work location, leave-taking location, or retirement preparation location determined to be within the same line, the following conditions must be met:

a) The medical facility belongs to the same level as specified in Clause 1 of Article 15, Clause 1 of Article 16, Clause 1 of Article 17, and Clause 1 of Article 18; or it falls within the scope of the medical examination and treatment network already defined; or any medical facility located within the same district, county, town, or city within a province or adjacent area;

b) A valid work permit, leave certificate, or retirement preparation decision is presented.

3. Military personnel, defense workers, employees, and persons working in confidential organizations suffering from serious diseases or long-term treatment diseases as specified in Circular No. 26/2014/TT-BQP dated May 20, 2014 of the Ministry of Defense, which lists serious diseases and long-term treatment diseases for implementation of policies in the military, continue to seek treatment for the same disease at a higher-level medical facility where the initial medical facility has referred them, and such cases are determined to be within the same line.

4. In emergency cases, after the emergency treatment phase, patients can continue inpatient treatment at the medical facility that initially received them or be transferred to another medical facility for continued treatment based on professional requirements, and such cases are determined to be within the same line.

5. If a patient is diagnosed with or develops another illness while being treated at a medical facility or after being transferred, and such illness falls within the scope of expertise of the receiving medical facility, such cases are determined to be within the same line.

Article 20. Transfer for medical examination and treatment under health insurance

1. The transfer for medical examination and treatment within medical facilities under the management of the Ministry of National Defense shall be implemented in accordance with the provisions of Clause 1 and Clause 2, Article 10 of this Circular.

2. The transfer for medical examination and treatment from military medical facilities to civilian medical facilities and vice versa shall be carried out in accordance with Circular No. 14/2014/TT-BYT dated April 14, 2014 of the Ministry of Health on the transfer of specialized technical procedures between medical facilities (hereinafter referred to as Circular No. 14/2014/TT-BYT).

Article 21. Procedures for transferring for medical examination and treatment under health insurance

1. Procedures for transferring for medical examination and treatment within medical facilities under the management of the Ministry of National Defense

The medical facility where the patient is examined and treated when implementing the transfer of the patient shall have the responsibility to:

a) Inform and explain the reasons for the transfer to the patient;

b) Record all contents according to the format of the transfer form prescribed in Appendix 2 attached to this Circular;

c) Ensure sufficient means of transportation and medical equipment to handle emergency situations during transport; assign staff members to accompany and hand over the patient and the transfer form to the receiving medical facility. In cases of transferring patients to lower-level facilities, it is necessary to notify the direct managing unit of the patient so that the unit takes responsibility for transferring the patient.

2. Procedures for transferring for medical examination and treatment from military medical facilities to civilian medical facilities and vice versa shall be carried out in accordance with Circular No. 14/2014/TT-BYT.

3. Cases of transferring between medical facilities only require a transfer form issued by the medical facility directly transferring the patient; the transfer form is valid for use within 10 days from the date of issuance.

4. Use the appointment card for rescheduling according to the format at Appendix 3: each rescheduling appointment card can only be used once according to the time specified in the rescheduling appointment card of the medical facility and not more than 30 days from the date of issuance of the rescheduling appointment card.

5. Determining emergency patients: The emergency status is determined by the doctor or medical officer directly examining and assessing the patient and recorded in the medical records and case files.

Chapter V

RESPONSIBILITIES OF THE AGENCIES AND UNITS

Article 22. Responsibilities of the Military Medical Service

1. Direct and guide medical facilities under the management of the Ministry of National Defense to implement the provisions of this Circular.

2. Determine and compile a list of medical facilities meeting the conditions for initial medical examination and treatment under health insurance as prescribed.

3. Take the lead and coordinate with the Social Insurance Department of the Ministry of National Defense to guide units to register for initial medical examination and treatment for subjects managed by the Ministry of National Defense in accordance with the capacity of medical facilities and actual conditions of the units.

Article 23. Responsibilities of the Social Insurance Department of the Ministry of National Defense

1. Organize the signing of contracts for medical examination and treatment under health insurance with medical facilities determined by the Military Medical Service as meeting the conditions to participate in initial medical examination and treatment under health insurance.

2. Coordinate with the Military Medical Service to guide the registration and change of registration for initial medical examination and treatment under health insurance in accordance with the provisions of this Circular.

3. Guide the provision of medical examination and treatment under health insurance for subjects managed by the Ministry of National Defense who have health insurance cards; coordinate with relevant agencies of localities and sectors to ensure benefits when participating in health insurance for subjects managed by the Ministry of National Defense.

Article 24. Responsibilities of medical examination and treatment facilitiesin 1. Ensure all material conditions, equipment, and human resources to implement the approved technical examination and treatment catalog.

2. Organize the registration of medical examinations and treatments, and inter-facility referrals according to the provisions of this Circular.

3. Ensure the benefits for subjects under the management of the Ministry of National Defense when seeking medical examinations and treatments; coordinate with units where military personnel seek medical examinations and treatments in managing personnel strength and military personnel's health.

Article 25. Responsibilities of Units

1. Based on the provisions of this Circular and actual conditions, unit commanders determine the registration of medical examination and treatment levels; identify and manage the list of subjects registered for initial health insurance medical examinations and treatments at medical examination and treatment facilities within their jurisdiction.

2. Coordinate with medical examination and treatment facilities to adjust the registration of medical examination and treatment levels, manage personnel strength, and manage military personnel's health.

Article 26. Cross-referencing Provisions

Chapter VI

IMPLEMENTING PROVISIONS

When legal normative documents referred to in this Circular are replaced or amended by other documents, the relevant contents in this Circular will be applied and adjusted according to the newly issued documents.

Article 27. Effective Date

1. This Circular takes effect from May 18, 2016.ệnto effecitselffor implementation

2. Decision No. 266/QĐ-BQP dated February 18, 2003 of the Minister of National Defense regarding the assignment of tasks to upper-level military hospitals to assist lower-level military hospitals and dispensaries in professional techniques, and Document No. 4111/BQP-QY dated June 4, 2013 of the Ministry of National Defense regarding the approval of technical catalogs of medical examination and treatment facilities by the Military Health Department cease to be effective from the date this Circular takes effect.

1. The Chief of General Staff, the Director of the Political General Department, and the heads of related agencies and units are responsible for implementing this Circular.

Article 28. Responsibility for Implementation

2. During the implementation process, if there are any difficulties, agencies and units shall promptly reflect them to the Ministry of National Defense (through the Military Health Department/MoND) for consideration and resolution./.

2. During the implementation process, if there are any difficulties, relevant agencies and units shall promptly reflect them to the Ministry of National Defense (through the General Department of Health Services of the Ministry of National Defense) for consideration and resolution./.