CIRCULAR route rules examination technical expertise;
registration and transfer of online consultations, healing for the objects of management------------------------pursuant to the law examinations, cure of 40/2009/QH12 on November 23, 2009;
Pursuant to the law of health insurance number 25/2008/QH12 on November 14, 2008 and the law amending and supplementing some articles of the law on health insurance of 46/2014/QH13 on June 13, 2014;
Pursuant to Decree No. 87/2010/ND-CP on January 27, 2011 from the Government detailing and guiding the implementation of some articles of the law on the examination and treatment;
Pursuant to Decree No. 70/2015/ND-CP of September 2015 the Government detailing and guiding the implementation of some articles of the law on medical insurance for the people's army, the police and the people who do the work of weak muscle;
Pursuant to Decree No. 35/2013/NĐ-CP dated April 22, 2013 of the Government functions, tasks, powers and organizational structure of the Department of Defense;
Proposal of the Director General Army Medical Department of Defense, the Defense Minister issued circular route rules examination technical expertise; registration and transfer of online consultations, healing for the objects of management.
Chapter I GENERAL PROVISIONS article 1. Scope this circular route rules examination technical expertise; listing consultation techniques, healing; directing, supporting of technical expertise; registration, healing the original medical insurance and transit consultation, healing health insurance for professional military personnel, officers, non-commissioned officers, soldiers, (hereafter referred to collectively as the military personnel), workers, the defense officials, who work in organizations and medical institutions the healing, the Ministry of Defense management.
Article 2. The object that applies to this circular apply to: 1. The base doctor, healing Ministry of Defense management.
2. Military personnel, workers, defense officials are working, learning at the Agency, the Ministry of Defense units when the doctor visit, healing.
3. Who do the work as paid body for military personnel, the student body to enjoy, people working in organizations (hereafter referred to collectively as the people who work in the Organization of muscle weakness).
Article 3. Explanation of terms 1. Subtribe professional online consultation techniques, healing is the classification of the medical facility, healing the same group of professional expertise and are arranged in a system in order from high to low.
2. system basis of examination and treatment of management are classified into 4 online technical expertise, as well as the examination and treatment of health insurance, including: a) line 1 equivalent examination facility, Central healing;
b) line 2 equivalent base doctor, cure the glands, the central cities;
c) line 3 equal consultation facility, healing online district, town, city in the province;
d) Online 4 base equivalent examinations, cure online communes, wards and towns.
3. register online consultations, healing is the units and the base doctor, cure the military contact, register with the online examination base on to put officers, soldiers, employees in his unit when being sick, disease treatment, cure or to transfer patients when indicated.
4. Registration, cure for health insurance with health insurance participants is the individual person that choose the base doctor, cure according to the provisions of this circular to the examination and treatment.
5. list of consultation techniques, healing is the name of the technical examination, the cure was agreed under the General rules of the Ministry of health.
Chapter II RULES ONLINE TECHNICAL EXPERTISE EXAMINATION and treatment Items 1 SEGMENT ONLINE SPECIALIST CONSULTATIONS, healing article 4. The base doctor, cure 1 1 Online. Special class hospital.
2. The I class hospital affiliated to the Defense Ministry a) military hospital 175;
b) Military Medicine Institute.
3. The I class hospital affiliated to the Military Academy a) military hospital 103;
b the national Burns Institute, Le Huu) Trac.
Article 5. The base doctor, cure Online 2 1. The hospital affiliated to the I class logistics a) 354 military hospital;
b) 105 military hospital;
c) 87 military hospital.
2. first class hospital affiliated to the Army Medical Department I: Institute for radiation medicine and military hump.
3. The I class hospital affiliated to the military districts, the Corps a) military hospital 108/1 military region;
b) 17/military hospital of military region 5;
c) military hospital 7A/army;
d) military hospital 121/9th military region;
military hospital) 211/3 Corps.
4. Military Hospital, class II; military hospital-grade II, the population health.
Article 6. The base doctor, cure Online 3 1. Army medical clinic; military Clinic-medical population. 2. The treatment team.
3. Military Hospital and military hospital-class III, class IV medical people or not yet rated.
4. Base 2 of the hospital line 2 not residing on the district, the County, towns and cities in the province.
5. the clinic medicine base class I, class II's army.
6. Clinic; specialty clinics; VU faculty affiliated hospitals or affiliated to the army and equivalent levels.
7. Army Medical Center-medical population. 8. Government body clinic.
Article 7. The base doctor, cure Online 4 1. Army Medical Battalion unit.
2. the army medical unit of contrasting battalion have deployed doctors, physicians, including: independent company, frontier, the island had no clinics, storage, workstations, battlefield, truss House DK ...
3. Military-level agency directly under the Ministry of defence; Army Medical Brigade, Regiment, Agency Division; the effect of the Military Academy, the school; Army medical plants, enterprises of the defense ...
4. Nest bed army medical store.
5. a population-health clinics; military Clinic-medical population. Section 2 REGISTRATION of TRANSIT routes, the DOCTOR, cure article 8. Online registration guidelines, consultation, healing transit 1. For military personnel, workers, defense officials, who work in organizations when hospital, healing.
2. Advantages for the units in the army management and health management.
3. Fit the hierarchy ladder of treatment system of army medical industry. 4. The fit systems to organise military units from the battalion online to the Department of Defense.
5. Suitable geographical units stationed.
Article 9. Online patient registration, healing 1. The base doctor, cure line under the chief responsibility for unit heads do the online patient registration, medical facility with healing, healing in the higher technical expertise online order from up to 4 lines line 1; bottom line case and on the adjacent together a unit need not do the registration online.
2. register online beyond a) registered pass online is the online registration examinations, cure is not according to the order prescribed in paragraph 1 of this article, online 4 registered online with line 2 or line 1; online registration with online 3 1;
b) registrations exceeded because the Commander and regiment level units equivalent to back up the decision based on the principles in article 8 of this circular when approved by the base doctor, cure-where the unit choose register online; Army medical units have the responsibility to advise the heads of units suitable for the route selection; the base doctor, cure online on the responsibility to create conditions when the unit to register online consultations, healing.
Article 10. Transit consultation, healing 1. Transit consultation, healing from bottom up on routes follow the sequence from line 4 to line up 1. Allowed to move beyond online in the following cases: a) The Emergency Department in the area that if transformed beyond the gland will more advantageous move right;

b) severe acute cases, beyond the possibility of treatment on adjacent or need highly technical treatment.
2. Transit consultation, healing from upline downline about when treatment was stable but need to be strengthened or treatment according to the patient's wishes, the legal representative of the patient; be transferred to the base hospital, healing along the route as required expertise or expectations of the patient, the patient's legal representative.
3. Military personnel have yet to join the health insurance if the doctor, cure at the base population of y, then the cost of payment made in accordance with decision No. 105/2008/QD-BQP on July 11, 2008 by the Minister of national defence about the payment of the cost of medical examination and treatment for military personnel defense officials, when the hospital treatment in a population health basis. Chapter III TECHNICAL CATEGORY EXAMINATIONS; DIRECTING, SUPPORTING TECHNICAL EXPERTISE ABOUT article 11. List building techniques, healing 1. On the basis of technical category due to the Ministry of Health issued, the base doctor, cure list building techniques consistent with the technical expertise and the actual conditions of the facilities, equipment, personnel and expertise. The technical category recommended approval of the rules applicable for each route as follows: a) line 1: apply the technical category is equivalent to the central line;
b) line 2: apply the technical equivalent online directory of the province, the central cities;
c) line 3: applying the technical catalogue, online equivalent, a town, a city in the province;
d) Online 4: apply the technical equivalent online directory of communes, wards and towns.
2. The base doctor, cure line below are permitted to perform the technique on when was the transfer of technology and techniques that are approved by the Army Medical Department.
3. Approval of the new technical, technically not yet in the category specified by the Ministry of health a) consultation facility, healing must ensure the conditions and procedures as specified in circular No. 07/2015/TT-BYT on 03/4/2015 Ministry of health detailing the conditions, the procedure allows to apply new techniques a new method of examination;
b) recommended approval list posted on the Army Medical Department must accompany the record, Council meeting minutes the technical expertise of the base doctor, healing.
Article 12. Approval of the technical category examinations, cure 1. The authority to approve military Chief responsible for approval, additional approval categories consultation techniques, healing, including: a) the list of technical line 1, line 2, line 3 was approved separately for each medical facility;
b technical category) for the base doctor, cure line 3 uniformly use according to a list released by the Army Medical Directorate General; the case of the unit needs to expand the professional army medical units attached to Ministry to send Army Medical Department recommended text approved separately or additional approval technical categories;
2. The records suggest approval a) dispatch the request of hospitals or medical units attached to Ministry of Defense;
b) Board meeting minutes the technical expertise;
c) catalogue of techniques recommended for approval or approved supplements according to the form prescribed in annex 1 of this circular and the accompanying electronic version;
d) records describe the capacity of the base doctor, healing of physical facilities, personnel, medical equipment.
3. Order a) medical facility, direct healing posted 01 record specified in item 2 of this Article to the Army Medical Department (for the record suggest approval of technical category of the base doctor, cure line 1, 2) or military agency attached the Defense Department (for the record suggest approval of technical category of the the base doctor, cure line 3, 4);
b) within 5 working days from the date of receipt, the receiving agency profile profile must consider, determine the valid profile or is not yet valid. Case records are not yet valid, the Agency receives the record must have the text message to the base doctor, complete healing. Written notice must be stated specifically in additional documents and to the contents are modified, added. The base doctor, cure has additional responsibility, modified documents with text message and send additional records of the agency receiving records. The base case examinations, cure has additions but not right with the requirements must continue to complete the profile according to the provisions of this clause until reaching the required profile. For the record suggest approval of technical category of the base doctor, cure line 3, 4 after identifying documents, the Agency attached Army Medical Department of Defense have text accompanying record of Army Medical Department of the Ministry of defence.
c) within the time limit of 20 working days from the date of receipt of a valid application, the competent authorities in the Army Medical Department to organize the evaluation and the Director army medical decision approving the technical catalogue for the base doctor, healing. The evaluation was conducted on the record, the case beyond the expertise of the medical facility, healing, Director army medical decision-making Council expertise to assess a portion or the entire catalog of techniques at the base hospital, healing.
Article 13. Directing, supporting of technical expertise 1. Line 1 direction hospital, hospital support online 2 a) Army Central Hospital 108: help the hospitals on line 2 of military region 1, District 3, the capital;
b) military hospital 103/Army Medical Academy: directing, supporting hospitals on line 2 of military region 2, District 4;
c) military hospital 175: directing, supporting hospitals on line 2 of military region 5, army, military district 9;
d) Institute of military medicine, Institute of National Organic Pears Zhuo Burns steer, support the full force of specialized hospital of traditional medicine and burns. 2. Hospital line 2 is responsible for directing, supporting hospitals, clinics in line 3 units have registered online consultations and treatment at the hospital.
3. The case of professional support for the upline downline but not in charge or is incorrect, the online unit of the gland below the posted dispatch of Army Medical Department recommends reviewing the decision.
4. Professional online support between the base doctor, cure together in a single clue level directly under the Ministry of defence by command of the review decision.
5. The Chairman of the focal unit-level military Ministry of Defense is responsible for directing, organizing training on professional service for consultation, healing the base gland 4.
6. The unit and the base doctor, cure online under is responsible for the coordination, linking closely with the online online hospital on emergency treatment, to improve professional capacity, to withdraw the emergency work experience, the treatment of human disease.
Article 14. The content assist on the technical expertise 1. Transfer of technology, improving the quality of the work, particularly the treatment of surgery, anesthesia, emergency resuscitation, specialty techniques.
2. Reception, held in the training of professional, technical staff, professional staff online under the proposal of the unit.
3. Training for the army medical detachment of expertise ensures readiness and capacity, mass emergency response the military situation, disaster, catastrophe.
4. Consolidation of Groove, professional work mode; experience organizing examinations, treatment capacity.
5. support of periodic health examinations health examinations, recruitment, recruitment for military units in the line when the unit suggested.
Chapter IV

REGISTRATION, cure health insurance initially, TRANSIT CONSULTATION, healing health insurance article 15. Registration, healing the original medical insurance for non-commissioned officers, soldiers, the student body entitled to living expenses 1. Non-commissioned officers, soldiers, the student body entitled to subsistence are registration, cure health insurance initially at the base hospital, cure in a management unit provisions of article 6 and article 7 of this circular.
2. Registration, cure health insurance initially at the healing, the provisions of article 6 and article 7 of this circular but not in management unit must then be approved by the unit commander and Regiment levels equal or over.
3. Are registration, cure health insurance initially at a medical facility in the treatment specified in article 4 and article 5 of this circular or at the base hospital, healing people of the district, the online medicine when: a) unit stationed and consultation facility, located in the same geographical County of healing , district, town, city or province in neighboring regions;
b) consensus of the Commander and regiment level units equivalent to back up.
Article 16. Registration, healing the original medical insurance for the paid audience from Lieutenant Colonel level or equivalent salary go down 1. The unit list and registration, healing the original medical insurance for objects in a management unit in one of the base doctor, cure prescribed in article 5, article 6 and article 7 of this circular.
2. Are registration, cure health insurance initially at the healing, the provisions of article 4 of this circular or at one of the base doctor, healing people y Central, provincial, District lines when: a) unit stationed or where permanent and patient base located in the same geographical cure, County, district, town, city or province in the neighboring region;
b) Be approved by the Commander of regiment level units and equivalent back-up.
Article 17. Registration, cure health insurance initially for Colonel-level officers or equivalent salary over 1. The unit list and registration, healing the original medical insurance for objects in a management unit in one of the base doctor, cure the provisions of article 4, article 5 and article 6 of this circular.
2. Are registration, healing the original medical insurance in one of the base doctor, healing people y Central, provincial, District lines when: a) unit stationed or where permanent and medical facility, located in the same geographical cure the County, district, town, city or province in the neighboring region;
b) Was approved by the division-level unit commander and equivalent back-up.
Article 18. Registration, healing the original medical insurance for General officers 1. The unit list and registration, healing the original medical insurance for objects in a management unit in one of the base doctor, cure the provisions of article 4, article 5 of this circular.
2. Are registration, healing the original medical insurance in one of the base doctor, healing people of the central route, the route of health and clinics in the Board of protection of health in the province, officials of the central cities.
Article 19. The case was determined to be true online examinations, cure health insurance 1. Military personnel, and defense officials, who work in the organization registration body, initial healing according to the provisions of paragraph 1 article 15, paragraph 1 article 16, paragraph 1 article 17, paragraph 1 Article 18 to the doctor, healing in any patient base, healing of the army along the route or routes under , if accompanied by the recommendation of the unit is determined to be true online.
2. in case of military personnel, workers, defense officials, who work in the Organization of the body on a business trip or vacation, vacation to prepare retirement if treatment, cure at the base hospital, civil or military medical healing in the work place, where vacation or prepare the retirement is determined to be true online when : a) the base doctor, cure it in the online equivalent for each object specified in clause 1 article 15, paragraph 1 article 16, paragraph 1 article 17, paragraph 1 Article 18; or medical facility, that healing is in range through online consultation, healing has been defined; or any medical facility, healing would if located in the same areas, districts, towns and cities in the province or the neighboring region;
b) Has the paper work, paper or vacation, or holiday retirement preparation decisions valid.
3. Military personnel, workers, defense officials, who work in the organization list infected body illness, patients need lengthy treatment specified in circular No. 26/2014/TT-BQP on May 20, 2014 Department of Defense issued the list of categories, acute diseases need longer treatment to make the mode the policy, in the military, while continuing to visit and treat diseases examination facility at old, healing on where the base doctor, cure initially moved to be determined to be true online.
4. in case of emergency, after the period of emergency treatment, the patient continued inpatient treatment at the base hospital, where the patient receiving healing or be rerouted to the base doctor, healing to continue treatment as required expertise be identified as correct.
5. in case of a patient being treated at the base hospital, cure or after transit are discovered or attached to other diseases incurred if in the scope of the expertise of the base hospital, where the patient receiving healing is determined to be true online.
Article 20. Transit consultation, healing health insurance 1. Transit consultation, healing in the medical facility, the healing Ministry of Defense managed to follow the provisions in paragraph 1, item 2 article 10 of this circular.
2. Transit consultation, healing from the military base to the base population of y and vice versa to follow circular No. 14/2014/TT-BYT on 14 April 2014 of the Ministry of health about the transit technical expertise between the base doctor, cure (here written as circular No. 14/2014/TT-BYT).
Article 21. The transit procedure the doctor, cure health insurance 1. The transit procedure medical examination and treatment in medical establishments, the healing Ministry of Defense medical facility management, healing where examination and treatment for the patient when the patient then transfer execution responsibility: a) to announce and explain the reason for the transit of disease;
b) full Record content in paper form transit provisions in Appendix 2 attached to this circular;
c) ensure adequate means of evacuation and medical equipment to handle emergencies on the road transport; the election of officers, the professional staff of the escort and delivered the patient, transit for paper examination facility where moved to. Patient transfer case on the line under the need to notify the direct management unit the sick to the unit responsible for transferring the patient.
2. the transit procedure the doctor, healing from the military base to the base population of y and vice versa to follow circular No. 14/2014/TT-BYT.
3. The case of transit between the base doctor, cure just transit base paper examinations, cure where direct patients away; valuable transit paper use within 10 days from the date of signing.

4. Use a paper appointment back under the form in annex 3: each paper appointment only used once by the time stated in the appointment of base paper examinations, cure and not wanting too for 30 days from the date of signing the paper appointment.
5. Identify the patient emergency: the emergency situation caused by the doctor, medical clinic, receiving direct reviews, identified and recorded on records, hospital.
Chapter V RESPONSIBILITIES of the Agency, Unit 22. Army Medical Department's responsibilities 1. Steer, instruct the patient base, the healing Ministry of Defense made the provisions of this circular.
2. Identify and establish the base doctor, cure patient eligibility, cure health insurance initially prescribed.
3. Hosted, in cooperation with the social insurance Department of Defense instructions the unit registration, initial cure for objects of suitable management ability of the base doctor, healing and the actual condition of the unit.
Article 23. The responsibilities of the social insurance Ministry of defence 1. Implementation of the contract doctor, cure health insurance with the base doctor, cure has been military Bureau determined eligible to join consultations, healing the original medical insurance.
2. In collaboration with the Bureau of the army medical manual registration, change the place of registration, healing the original medical insurance in accordance with the provisions of this circular.
3. Guide the doctor, cure health insurance for the objects of management has had health insurance card; in collaboration with the relevant authorities of the local industries and interests when participating in medical insurance for the objects of management.
Article 24. The responsibility of the base doctor, cure 1. Full guarantee conditions of the facilities, equipment and personnel to perform technical category examinations, cure has been approved.
2. Organizing registration, healing, transit between the base doctor, cure according to the provisions of this circular.
3. Ensure the rights for objects of management when the hospital; in collaboration with the unit has Trooper to hospital treatment in the management of health personnel management.
Article 25. The responsibilities of the unit 1. Pursuant to the provisions of this circular and the actual conditions, the Commander of the unit determined the registration of online consultations; identify and manage the list of registered objects, healing health insurance initially at the base hospital, according to the geographical cure accordingly.
2. Coordination with the base doctor, cure to adjust the registration online consultation, treatment, management of health personnel and management.
Chapter VI PROVISIONS Enacted 26. The terms of reference of the legal text referenced in this circular as are replaced or modified, supplemented by other text, then the relevant content of this circular will apply, adjusted according to the new documents issued.
Article 27. Effect 1. This circular effect since May 18, 2016.
2. Decision No. 266/QD-BQP on 18/02/2003 by the Minister of national defence about the delivery missions for the military hospital on helping hospitals, army medical clinic online under about technical expertise and writing of 4111/BQP-QY on 04/6/2013 of assigning military evaluation Bureau approval of technical category, the base doctor, cure the army expired from the date of this circular are enforceable.
Article 28. Responsibility 1. Chief, general political Department, Commander of the Agency, the relevant units responsible for the implementation of this circular.
2. The process of implementation, if there are obstacles, agencies timely unit reflects on Department of Defense (through the Army Medical Department/Ministry of defence) to consider resolution./.