|
MINISTRY OF
HEALTH
OF VIETNAM
--------
|
THE SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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|
|
No. 36/2024/TT-BYT
|
Hanoi, November
16, 2024
|
CIRCULAR
ON
HEALTH STANDARDS, ASSESSMENT OF FITNESS TO DRIVE FOR VEHICLE OPERATORS,
HEAVY-DUTY VEHICLE OPERATORS; PERIODIC FITNESS ASSESSMENT FOR PEOPLE WORKING AS
AUTOMOBILE OPERATORS; DATABASE ON HEALTH OF VEHICLE OPERATORS, HEAVY-DUTY
VEHICLE OPERATORS
Pursuant to the Law on Road Traffic Order and
Safety dated June 27, 2024;
Pursuant to Decree No. 95/2022/ND-CP dated
November 15, 2022 of the Government on functions, tasks, powers and
organizational structure of the Ministry of Health of Vietnam;
At the request of the Director General of the
Department of Medical Service Administration;
The Minister of Health promulgates the Circular
on health standards, assessment of fitness to drive for vehicle operators,
heavy-duty vehicle operators; periodic fitness assessment for people working as
automobile operators; database on health of vehicle operators, heavy-duty
vehicle operators.
Article 1. Scope
1. This Circular regulates health standards,
assessment of fitness to drive for vehicle operators, heavy-duty vehicle
operators; periodic fitness assessment for people working as automobile
operators; database on health of vehicle operators, heavy-duty vehicle
operators.
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Article 2. Health standards for
vehicle operators, heavy-duty vehicle operators
1. Health standards for vehicle operators,
heavy-duty vehicle operators are prescribed in Appendix I attached to this
Circular.
2. Health standards for vehicle operators,
heavy-duty vehicle operators include 3 types:
a) Type 1: Cases of assessment of fitness to drive
for issuance of A1-, B1-category driving licenses and heavy-duty vehicle
operators;
b) Type 2: Cases of assessment of fitness to drive
for issuance of A-, B-category driving licenses;
c) Type 3: Cases of assessment of fitness to drive
for issuance of C1-, C-, D1-, D2-, D-, BE-, C1E-, CE-, D1E-, D2E- and
DE-category driving licenses.
3. If holders of driving licenses issued before
January 01, 2025 wish to apply for replacement, re-issuance of A1-category driving
licenses to A-category driving licenses in accordance with point a clause 3
Article 89 of the Law on Road Traffic Order and Safety, type 1 heath standards
shall be applied for assessment of fitness to drive.
4. If people with disabilities apply for issuance
of A1-category or B-category driving licenses in accordance with clause 2
Article 57 of the Law on Road Traffic Order and Safety, the heath standards in
Appendix I attached to this Circular, except for musculoskeletal examination,
shall be applied for assessment of fitness to drive.
Article 3. Assessment of
fitness to drive for vehicle operators, heavy-duty vehicle operators; periodic
fitness assessment for people working as automobile operators
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2. Activities of assessment of fitness to drive for
vehicle operators, heavy-duty vehicle operators shall be in accordance with
Appendix II attached to this Circular.
3. Periodic fitness assessment for people working
as automobile operators include:
a) Activities prescribed in clause 3 Article 36 of
Circular No. 32/2023/TT-BYT ; for psychiatry examination, activities shall be in
accordance with section 1, part II of Appendix II attached to this Circular;
b) Obstetrics and gynecology examination during
periodic fitness assessment in accordance with clause 4 Article 36 of Circular
No. 32/2023/TT-BYT for women working as automobile operators;
c) Drug test and alcohol detection test.
4. Issuance and storage of fitness reports of
vehicle operators, heavy-duty vehicle operators; periodic fitness reports of
people working as automobile operators shall be in accordance with Article 38
of Circular No. 32/2023/TT-BYT .
Article 4. Application for
assessment of fitness to drive
1. Application for assessment of fitness to drive
of vehicle operators, heavy-duty vehicle operators shall be in accordance with
the template in Appendix II attached to this Circular.
2. Application for assessment of fitness to drive
of people working as automobile operators shall include:
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b) Addition of driving license category in section
7 (occupation).
Article 5. Database on health
of vehicle operators, heavy-duty vehicle operators
Data on results of assessment of fitness to drive
of vehicle operators, heavy-duty vehicle operators include:
1. Administrative part: Information in accordance
with Decision No. 06/QD-TTg dated January 06, 2022 of the Prime Minister
approving scheme for application of population data, e-identification and
e-authentication to national digital transformation in 2022 - 2025 period, with
a vision by 2030 (Scheme No. 06).
2. Name of medical facility carrying out assessment
of fitness to drive for vehicle operators, heavy-duty vehicle operators, people
working as automobile operators; assessment date.
3. Drug test result.
4. Conclusion on health condition.
Article 6. Fees for health
checkups for vehicle operators
Fees for health checkups for vehicle operators,
heavy-duty vehicle operators shall be in accordance with Article 33 of Circular
No. 32/2023/TT-BYT .
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1. This Circular comes into force from January 01,
2025.
2. Joint Circular No. 24/2015/TTLT-BYT-BGTVT dated
August 28, 2015 of the Minister of Health and Minister of Transport on health
standards for drivers, regular check-ups for car drivers and medical facilities
doing checkups for drivers (hereinafter referred to as “Joint Circular No.
24/2015/TTLT-BYT-BGTVT”) ceases to be effective from the effective date of this
Circular.
Article 8. Reference clause
In cases where the documents cited in this Circular
are replaced, amended, or supplemented, the new documents shall prevail.
Article 9. Transitional
provision
1. Fitness reports and periodic fitness reports of
vehicle operators issued before the effective date of this Circular shall
continue to be valid until their expiration dates in accordance with Joint
Circular No. 24/2015/TTLT-BYT-BGTVT .
2. Fitness reports of vehicle operators using the
template in Joint Circular No. 24/2015/TTLT-BYT-BGTVT , which have been printed,
shall be used in accordance with instructions on filling out the reports in
Appendix II attached to this Circular. New fitness reports shall be printed
using the template in Appendix II attached to this Circular.
3. Periodic fitness reports of vehicle operators
using the template in Joint Circular No. 24/2015/TTLT-BYT-BGTVT may be used
until the end of June 30, 2025 with addition of the information prescribed in
clause 3 Article 36 of Circular No. 32/2023/TT-BYT .
4. The medical facilities carrying out fitness
assessment before the effective date of this Circular shall continue to do so
without the need for declaration of eligibility except for the cases prescribed
in point c clause 2 Article 69 of Decree No. 96/2023/ND-CP dated December 30,
2023 elaborating the Law on Medical Examination and Treatment.
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a) Carry out periodic fitness assessment for people
working as automobile operators in accordance with this Circular in cases where
the facilities have already declared the eligibility for carrying out periodic
fitness assessment for vehicle operators before the effective date;
b) Sign a contract with another medical facility to
conduct odonto-stomatology, dermatology, surgery examinations in cases where
the facilities are not eligible to conduct examinations on above specialties.
From January 01, 2026, those facilities shall satisfy all requirements
prescribed in this Circular.
Article 10. Implementation
1. The Department of Medical Service Administration
shall take charge, and cooperate with authorities, relevant organizations in
leading, inspecting, conducting preliminary review, review of the
implementation of this Circular nationwide.
2. The Departments of Health of provinces and
central-affiliated cities; health units of Ministries and central authorities
shall:
a) Take charge, provide instructions,
inspect, conduct preliminary review, review the implementation of this Circular
within their jurisdiction;
b) Report the statistics on assessment of fitness
to drive for people working as automobile operators to the Ministry of Health
(Department of Medical Service Administration) annually within their
jurisdiction.
3. Medical facilities shall:
a) Report activities of assessment of fitness to
drive for vehicle operators, heavy-duty vehicle operators; periodic fitness
assessment for people working as automobile operators to their direct
supervisors;
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Authorities, organizations, individuals shall
report any issues arise during the implementation to the Ministry of Health
(Department of Medical Service Administration) for consideration and
resolution./.
PP.
MINISTER
DEPUTY MINISTER
Tran Van Thuan
APPENDIX I
LIST OF HEALTH STANDARDS FOR VEHICLE OPERATORS,
HEAVY-DUTY VEHICLE OPERATORS
(Attached to Circular No. 36/2024/TT-BYT dated November 16, 2024 of the Minister
of Health)
No.
SPECIALTY
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A person with
any of the following medical conditions or disabilities is not eligible to
operate corresponding vehicle categories<0}
TYPE 1
Cases of
fitness assessment for issuance of A1-, B1-category driving licenses and
heavy-duty vehicle operators
TYPE 2
Cases of
fitness assessment for issuance of A-, B-category driving licenses
TYPE 3
Cases of
fitness assessment for issuance of C1-, C-, D1-, D2-, D-, BE-, C1E-, CE-,
D1E-, D2E- and DE-category driving licenses
1
PSYCHIATRY
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Mental health disorders that has been completely
treated and stabilized less than 6 months
Mental health disorders that has been completely
treated and stabilized less than 24 months
2
NEUROLOGY
Paralysis affecting two or more limbs
- Epilepsy with seizures occurring within the
past 24 months (with or without medication);
- Paralysis affecting two or more limbs;
- Akathisia;
- Dizziness due to various pathological causes
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- Paralysis affecting one or more limbs;
- Akathisia;
- Exteroceptive disorder or proprioceptive
disorder
- Dizziness due to various pathological causes
3
OPHTHALMOLOGY
- Binocular distance vision: Visual acuity less
than 4/10 (including corrective lenses);
- Visual acuity less than 4/10 (including
corrective lenses) in case that person has only one eye;
- Disorder in recognizing three basic colors:
red, yellow, green
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- Visual acuity less than 5/10 (including
corrective lenses) in case that person has only one eye;
- Disorder in recognizing three basic colors:
red, yellow, green
- Diplopia including corrective lenses.
- Monocular distance vision: Visual acuity less
than 8/10 in case that person has good eyesight, or visual acuity less than
5/10 in case that person has poor eyesight (including corrective lenses);
- Refractive error with a prescription of > +5
diopters or > -8 diopters;
- Horizontal visual field (nasal/temporal
halves):
+ Binocular visual field < 160°
+ Monocular visual field < 70°;
- Vertical visual field (superior/inferior
halves): 30o above and below the horizontal line;
- Hemianopia; Scotoma on the edge of visual
field;
- Disorder in recognizing three basic colors:
red, yellow, green
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- Diseases causing glare sensitivity;
- Nyctalopia.
4
OTORHINOLARYNGOLOGY
Hearing in the better ear:
- Normal conversation under 4 meters (including
hearing aids)
- Or a whisper at a minimum distance (in the
better ear) under 0.4 meters (including hearing aids).
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CARDIOLOGY
- Second-degree atrioventricular (AV) block or
slow heart rate with associated clinical symptoms (treated but not stable);
- Class III or higher heart failure as classified
by New York Heart Association (NYHA)
- High blood pressure that is not well controlled
with treatment with maximum blood pressure ≥ 180 mmHg and/or minimum blood
pressure ≥ 100 mmHg
- Low blood pressure (maximum blood pressure <
90 mmHg) with a history of symptoms such as dizziness, fatigue, drowsiness,
or fainting;
- Inflammatory conditions (arteritis, phlebitis),
or vascular anomalies with clinical manifestations that affect the ability to
operate an automobile;
- Arrhythmias: supraventricular tachycardia,
ventricular tachycardia, atrial flutter, atrial fibrillation, atrial
tachycardia, and sinus tachycardia over 120 beats per minute (treatmented but
not stable);
- Premature ventricular complexes in individuals
suffering from cardiovascular disease with actual damages and/or class III or
higher cardiovascular disease as classified by Lown;.
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- Chest pain due to coronary artery disease;
- Heart transplantation;
- Post-coronary artery bypass grafting;
- Class II or higher heart failure as classified
by New York Heart Association (NYHA)
6
PULMONOLOGY
Diseases causing breathlessness at level III or
higher according to the mMRC classification
- Diseases causing breathlessness at level II or
higher according to the mMRC classification
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- Active tuberculosis.
7
ORTHOPEDICS
Amputation or loss of function of one hand or one
foot, or amputation of one leg with the remaining hand or foot being
partially or completely impaired.
Amputation or loss of function of one hand or one
foot, or amputation of one leg with the remaining hand or foot being
partially or completely impaired.
- Stiff/fused major joint;
- Prosthetic joint in a major bone joint;
- Kyphosis, severe curvature of the spine causing
scoliosis; fusion of the spine affecting mobility;
- Absolute length discrepancy of 5 cm or more
between the upper or lower limbs without support device;
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8
ENDOCRINOLOGY
Diabetes with a history of diabetic coma within
01 month.
9
USE OF
MEDICATIONS, ALCOHOL, DRUGS AND PSYCHOACTIVE SUBSTANCES
Using drugs
- Using drugs;
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- Using drugs;
- Consuming alcohol (during periodic fitness
assessment);
- Using medications affecting alertness;
- Abusing stimulants, hallucinogens.
APPENDIX II
TEMPLATE OF THE FITNESS REPORT OF VEHICLE OPERATORS,
HEAVY-DUTY VEHICLE OPERATORS
(Attached to Circular No. 36/2024/TT-BYT dated November 16, 2024 of the
Minister of Health)
SUPERIOR AUTHORITY
AGENCY/ ENTITY
THE SOCIALIST
REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
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FITNESS REPORT OF
VEHICLE OPERATORS, HEAVY-DUTY VEHICLE OPERATORS
Photo
4x6 cm photo
with an overlapping seal or scanned photo
(The photo is
taken on a white background within 06 months from the date of submitting the
application for fitness assessment)
1. Full name (capital letters):
………………………………………………..
2. Gender: Male □ Female □
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4. Citizen identity card/Identity
card/Passport/Citizen identification number: .......(2)
.........................
5. Date of issuance …/…/…… Place of issuance
........................................................................
6. Current place of residence:
........................................................................................
7. Fitness assessment for operating vehicle of
category: ........(3) ....................................
.....................................................................................................................
.....................................................................................................................
* Note: The applicant for fitness
assessment is not required to fill out sections 2, 5 and 6 if he/she has
already connected his/her citizen identity card/chip-mounted identity card or
citizen identification number to the national population database
I. MEDICAL HISTORY OF THE APPLICANT
1. Family medical history:
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a) No □; b) Yes □;
If “Yes”, please specify the disease: ......................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
....................................................................................................................................................
2. Personal medical history: Have you ever suffered
from or are you suffering from any of the following conditions? (The doctor
asks about the disease and marks X in the corresponding box)
Yes/No
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Illness or injury in the last 5 years
Diabetes or blood sugar control
Nervous system diseases or head injuries
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Mental health disorders
Eye disease or vision impairment (excluding
corrective lenses)
Unconsciousness, disorder of consciousness
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Ear disease, hearing loss, or balance disorder
Fainting, dizziness, fatigue, sleepiness
Heart diseases, or myocardial infarction, other
cardiovascular diseases
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Cardiovascular surgery (valve replacement, bypass
surgery, vascular reconstruction, pacemaker implantation, stent placement,
heart transplant)
Sleep disorders, sleep apnea, daytime sleepiness,
loud snoring
High blood pressure
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Stroke or paralysis
Dyspnea
Spinal disease or injury
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Lung disease, asthma, emphysema, chronic
bronchitis
Regular use of alcohol
Kidney disease, kidney dialysis
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If “Yes”, please specify the disease:
........................................................................................
.....................................................................................................................................................
3. Other questions (if any):
Are you currently being treated for any medical
conditions? If yes, please list the medications you are taking and the dosages:
................................................................................................................................................
................................................................................................................................................
I hereby declare that the above made statements are
true, otherwise I am accountable to the law for the provided information.
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………., date
………………...
Applicant
(Signature and full name)
II. CLINICAL EXAMINATION
Examination
content
Full names and
signatures of doctors
1. Psychiatry:
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............................................................................................................
Conclusion
.............................................................................................
...........................
2. Neurology:
............................................................................................................
............................................................................................................
Conclusion
.............................................................................................
……………………..
3. Ophthalmology:
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+ Without glasses:
Right eye: ................. Left eye: ....................................
+ With glasses:
Right eye:
...................... Left eye: .....................................
- Binocular distance vision: Without glasses
............. With glasses ....................
- Visual field:
Horizontal
visual field (nasal/temporal halves)
Vertical visual field
(superior/inferior halves)
Normal
Limitation
Normal
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- Color vision
+ Normal □
+ Achromatopsia □ Color deficiency: - Red □ -
Green □ - Yellow □
Eye disease (if any):
............................................................................................................
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Conclusion .............................................................................................
……………………
4. Otorhinolaryngology disease
Results of hearing test (including hearing aid)
+ Left ear: Normal conversation: .......... m;
Whisper:
...............m
+ Right ear: Normal conversation: ......... m;
Whisper: ..............m
- Otorhinolaryngology disease (if any):
............................................................................................................
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Conclusion
.............................................................................................
...........................
5. Cardiology:
+ Pulse: ......... bpm;
+ Blood pressure:
......................../.................................... mmHg
............................................................................................................
............................................................................................................
Conclusion
.............................................................................................
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............................................................................................................
............................................................................................................
Conclusion
.............................................................................................
...........................
7. Orthopedics
............................................................................................................
............................................................................................................
Conclusion
.............................................................................................
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............................................................................................................
............................................................................................................
Conclusion .............................................................................................
...........................
III. PARACLINICAL EXAMINATION
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Full names and
signatures of doctors/heads of the departments
1. Drug testing (Screening and qualitative tests
of various types of drugs in accordance with regulations of the Ministry of
Health including Amphetamines, Marijuana, Morphine, Codeine, Heroin)
Result:
....................................................................................
2. Tests conducted upon the recommendation of a
doctor during fitness assessment: Blood alcohol concentration testing or
breathalyzer/hematology/biochemistry/X-ray and other tests
(electroencephalogram, electrocardiogram, etc)
a) Result: ...................................................................................
b) Conclusion:
........................................................................................
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................................................................................................................................................
................................................................................................................................................
................................................................................................................................................
(This report is valid within 12 months
from the date of conclusion)
………., date
………………...
CONCLUDED BY
(Signature, full name and seal)
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1. Instructions on filling out the fitness
report of vehicle operators, heavy-duty vehicle operators
(1) No.: ..../GKSKLX/Code of medical facility/Year:
05 numbers in increasing order/ GKSKLX/ Code of medical facility/Year XX
(Example: 00001/GKSKLX/34001/24).
(2) Citizen identity card/Identity
card/Passport/Citizen identification number: Specify number of Citizen identity
card or Identity card or Passport or Citizen identification number.
(3) Fitness assessment for operating vehicle
of category: Specify driving license category and whether it is a replaced,
newly issued, re-issued license.
(4) Conclusion: Specify the conclusion on the
health status for driving in one of the following cases:
+ Qualified to operate heavy-duty vehicles of
category (specifying driving license category).
+ Not qualified to operate heavy-duty vehicles of
category (specifying driving license category).
+ Qualified to operate heavy-duty vehicles of
category (specifying driving license category) but required a re-examination
(specifying the specific time for re-examination).
+ Qualified for issuance of A1-category driving
license for operating three-wheeled motorcycles for persons with disabilities.
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2. Instructions on filling out the periodic
fitness report for automobile operators attached to Joint Circular No.
24/2015/TTLT-BYT-BGTVT
(1) Add the following contents after section
9 Part I. Clinical examination:
+ Section 10: Odonto-stomatology examination;
+ Section 11: Dermatology, surgery examinations.
(2) Specify the following information in Part
III. Conclusion:
+ Specify in accordance with instructions in Part
IV. Conclusion in the Appendix II attached to this Circular.
+ Add section “Health Classification”