Decision No. 868/2005/QĐ-BYT on seven forms for HIV laboratories issued by the Minister of Health

Pursuant to …;

REGARDING THE ISSUE OF SEVEN FORMS FOR HIV TESTING LABORATORIES

THE MINISTER OF HEALTH

Pursuant to Decree No. 49/2003/NĐ-CP dated May 15, 2003 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Health,

At the proposal of the Director of the Preventive Medicine Department and HIV/AIDS Prevention and Control Department,

Pursuant to …;

Article 1. The seven forms attached hereto are hereby issued for HIV testing laboratories.

Article 2. These forms shall be applied to HIV testing laboratories in state, private, and public health facilities.

Article 3. The forms must be used for their intended purposes. All columns in the forms must be filled out completely, with the conclusion section clearly written in full (negative or positive or inconclusive), without erasing or altering entries. If there is an error, the incorrect line should be crossed out and rewritten on the next line.

Article 4. The Central Institute of Hygiene and Epidemiology and regional institutes are assigned responsibility for inspecting the implementation of this Decision's provisions regarding HIV testing laboratories within their respective regions annually.

Article 5. This Decision takes effect from the date of signature and issuance.

Article 6. The following individuals are responsible for implementing this Decision: the Director of the Office, the Director of the Preventive Medicine Department and HIV/AIDS Prevention and Control Department, Heads of relevant Departments at the Ministry of Health, Heads of subordinate units under the Ministry of Health, Directors of Provincial Health Services, Heads of Health Departments of various sectors, and Heads of state, private, and public health facilities.

SEVEN FORMS FOR HIV TESTING LABORATORIES.

BM 1 SAMPLE SUBMISSION FORM FOR HIV TESTING

BM 2 RECORD BOOK FOR RECEIVING AND RETURNING HIV TESTING RESULTS

BM 3 HIV TESTING RECORD BOOK

BM 4 RECORD BOOK FOR POSITIVE AND SUSPECTED HIV SAMPLES

BM 5 RESULT RETURN FORM FOR HIV TESTING (For the unit sending samples for HIV testing)

BM 6 HIV TESTING RESULTS (To be returned to the person undergoing HIV testing)

BM 7 RESULT RETURN APPOINTMENT FORM

BM 1 SAMPLE SUBMISSION FORM FOR HIV TESTING

SAMPLE SUBMISSION FORM FOR HIV TESTING

Note: Clearly write the names of the reagents tested:

Reagent 1...Reagent 2...Reagent 3...

BM 2 RECORD BOOK FOR RECEIVING HIV TESTING SAMPLES

BM 3 HIV TESTING RECORD BOOK

BM 4 RECORD BOOK FOR POSITIVE AND SUSPECTED HIV SAMPLES

BM 5 RESULT RETURN FORM FOR HIV TESTING

(For the unit sending samples for HIV testing)

Respectfully submitted to:...

RESULT RETURN FORM FOR HIV TESTING

Place sending sample for testing:...

Date sending sample for testing:...

Date of testing:...

BM 6 HIV TESTING RESULTS

(To be returned to the person undergoing HIV testing)

Patient's name:...Age:......Gender: Male......Female......

Address:...Type of specimen:...

Testing request:...

Result:...

-

-

-

Conclusion:………………………………………………………………………………………………

Confirmatory test date:...

Recommendation:                                    Consultation

BM 7 RESULT RETURN APPOINTMENT FORM

RESULT RETURN APPOINTMENT FORM

Patient's name:...Date of birth:...

Blood draw date:...

Date of result return:...

Contact number (testing department phone number): ...