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Quyết định 1613/BYT-QĐ Tiêu chuẩn phân loại sức khoẻ để khám tuyển, khám định kỳ cho người lao động

Số hiệu:	1613/BYT-QĐ	Loại văn bản:	Quyết định
Nơi ban hành:	Bộ Y tế	Người ký:	Lê Ngọc Trọng
Ngày ban hành:	15/08/1997	Ngày hiệu lực:	Đã biết
Ngày công báo:	Đang cập nhật	Số công báo:	Đang cập nhật
		Tình trạng:	Đã biết

BỘ Y TẾ -------	CỘNG HÒA XÃ HỘI CHỦ NGHĨA VIỆT NAM Độc lập - Tự do - Hạnh phúc ---------------
Số: 1613/BYT-QĐ	Hà Nội, ngày 15 tháng 08 năm 1997

QUYẾT ĐỊNH

VỀ VIỆC BAN HÀNH “TIÊU CHUẨN PHÂN LOẠI SỨC KHOẺ ĐỂ KHÁM TUYỂN, KHÁM ĐỊNH KỲ” CHO NGƯỜI LAO ĐỘNG

BỘ TRƯỞNG BỘ Y TẾ

Căn cứ Nghị định số 68/CP ngày 11/10/1993 của Chính phủ quy định chức năng, nhiệm vụ, quyền hành và tổ chức bộ máy Y tế;

Căn cứ điều 102 Bộ Luật Lao động quy định về việc khám sức khoẻ khi tuyển dụng và khám định kỳ;

Căn cứ kết quả nghiên cứu đề tài xây dựng (Tiêu chuẩn phân loại sức khoẻ để khám tuyển, khám định kỳ” đã được hội đồng Khoa học Công nghệ cấp Bộ Y tế, (thành lập theo Quyêt định số: 1177/BYT-QĐ ngày 04/07/1996 của Bộ trưởng Bộ Y tế) họp nghiệm thu ngày 13/07/1996;

Theo đề nghị của Vụ trưởng: Vụ Điều trị, Vụ Khoa học Đào tạo, Vụ Tổ chức cán bộ Bộ Y tế

QUYẾT ĐỊNH:

Điều 1. Ban hành “Tiêu chuẩn phân loại sức khoẻ để khám tuyển, khám định kỳ” cho người lao động (có bản tiêu chuẩn kèm theo).

Điều 2. Giao cho Vụ trưỏng Vụ điều trị hướng dẫn chi tiết việc thực hiện áp dụng bảng tiêu chuẩn nói trên.

Điều 3. Quyết định này có hiệu lực kể từ ngày ký ban hành. Các quy định trước đây trái với quy định trong Quyết định này đều bãi bỏ.

Điều 4. Các ông bà: Chánh văn phòng, Vụ trưởng Vụ Điều trị và các Vụ chức năng của Bộ Y tế, Giám Đốc Sở Y tế các tỉnh, thành phố trực thuộc trung ương, Y tế các ngành chịu trách nhiệm thi hành Quyết định này.

KT. BỘ TRƯỞNG BỘ Y TẾ
THỨ TRƯỞNG

PGS. PTS. Lê Ngọc Trọng

FILE ĐƯỢC ĐÍNH KÈM THEO VĂN BẢN

MINISTRY OF HEALTH --------	SOCIALIST REPUBLIC OF VIETNAM Independence - Freedom - Happiness ---------------
No.: 1613/BYT-QD	Hanoi, August 15, 1997

DECISION

ON ISSUING “HEALTH CLASSIFICATION STANDARD FOR RECRUITMENT EXAMINATION AND PERIODIC EXAMINATION” FOR LABORERS

MINISTER OF HEALTH

- Pursuant to Decree No. 68/CP dated October 11, 1993 of the Government defining the functions, tasks, powers and structural organization of Health;

- Pursuant to Article 102 of the Labor Code providing for health care upon recruitment and periodical examination;

- Based on the research results of subject developing Health classification standard for recruitment examination and periodic examination established by the Science and Technology Council at level of Ministry of Health under Decision No. 1177/BYT- Decision dated July 04,1996 of the Minister of Health and acceptance meeting dated July 13,1996;

- At the proposal of the Director: Department of Therapy, Science and Training, Department of Organization and Personnel of Ministry of Health;

DECIDES

...

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Article 2: Assigning the Director of Department of Therapy to detail the application of the standard table mentioned above.

Article 3: This Decision takes effect from the signing date for issuance. The previous provisions contrary to the provisions of this Decision are hereby repealed.

Article 4: Chief of Office, Director of Therapy and the functional Departments of the Ministry of Health, Director of Service of Health of provinces and centrally-affiliated cities and the Health sectors are liable to execute this decision.

FOR THE MINISTER OF HEALTH
DEPUTY MINISTER

Assoc. Prof. Assoc.PhD. Le Ngoc Trong

SECTOR STANDARD

HEALTH STANDARD – CLASSIFICATION FOR RECRUITMENT AND PERIODIC EXAMINATION

...

I – GENERAL REGULATION:

1. This standard applies to the health classification for recruitment examination, periodic examination and examination to change trade for health reason of Vietnamese citizens to study in Universities, Intermediate technical schools, Vocational schools and work at private and State-owned business and production establishments in the Vietnamese territory.

2. For trades and professions which are heavy, hazardous or dangerous and extremely heavy, hazardous or dangerous, this standard is the pre-qualification. The official examination shall be based on the examination standards of each trade and professions.

3. Vietnamese citizens from 15 years old or older without acute diseases are subject to this standard.

4. The standard specifies 05 types of health:

-Type I : Very strong

-Type II : Strong

-Type III : Average

-Type IV : Weak

...

II- HEALTH CLASSIFICATION STANDARD

1. Physical strength:

1.1. Students of universities, intermediate technical schools and vocational schools:

Type of health

MALE

FEMALE

Height (cm)

Weight (kg)

Chest circle (cm)

...

Weight (kg)

Chest circle (cm)

160 or more

48 or more

80 or more

152 or more

44 or more

75 or more

...

156-159

46-47

77-79

149-151

42-43

73-74

152-155

42-45

...

145-148

40-41

71-72

149-151

39-41

71-73

142-144

37-39

...

Less than 149

Less than 39

Less than 71

Less than 142

Less than 37

Less than 69

1.2. Laborers in trades and professions

Type of health

...

FEMALE

Height (cm)

Weight (kg)

Chest circle (cm)

Height (cm)

Weight (kg)

Chest circle (cm)

1603 or more

...

82 or more

155 or more

45 or more

76 or more

158-162

47-49

79-81

151-154

...

74-75

154-157

45-46

76-78

147-150

40-42

72-73

...

41-44

74-75

143-146

38-39

70-71

Less than 150

Less than 40

Less than 74

...

Less than 38

Less than 70

2. Diseases:

No.

Diseases

Classification

EYES

...

Eyesight: One eye Total eyesight of both eyes

...

10/10 19-20/10

9-10/10 16-18/10

...

7 - 9/10 14-15/10

...

6 - 7/10 11-13/10

...

Pterygium:

...

2.1. None

...

2.2. Pterygium of type I, II, III, classified according to the standards of eyesight of both eyes.

2.3. Pterygium of type III, one eye with eyesight of less than 6/10

...

2.4. Pterygium was removed, recurs and is sticky

...

Corneal scarring:

3.1. No corneal scar:

...

3.2. Scar is simple, thin, small and outside the central area (lowering 01 type based on standards of eyesight)

...

3.3. Corneal scar with synechia

- Total eyesight of both eyes is from 16/10 or more

- Eyesight of 01 eye is 6/10 or less

...

Trachoma

...

4.1. No trachoma

4.2. Uncomplicated trachoma

...

4.3. Trachoma with entropion complication

- No effect on eyesight (lowering 01 type based on standards of eyesight)

- With effect on eyesight (lowering 01 type based on standards of eyesight)

...

Chronic lacrimal obliterans inflammation repeatedly treated without result

...

5.1. None

...

Cross-eye

...

6.1. No cross-eye

...

6.2. Cross-eye:

- No effect on visual function (Classified according to standards of eyesight and then lowering one type)

- With effect on eyesight

...

Injury of one eye

...

7.1. Other eye with eyesight 10/10

...

Short sight

...

8.1. None

...

8.2. With short sight: Based on the eyesight upon wearing glasses for classification according to standards of eyesight and then lowering one type.

Far sight

...

9.1. None

...

9.2. With far sight: Based on the eyesight upon wearing glasses for classification according to standards of eyesight and then lowering one type.

Types of simple or combined astigmatism: Classifying according to standards of eyesight and then lowering one type.

...

Color blindness

...

11.1.No color blindness

...

Diseases of eyeground

...

Retinitis due to kidney disease, hypertension, retinitis pigmentosa

...

Other diseases of eye

13.1. None

...

13.2. Retinal detachment and optic atrophy

...

13.3. The following diseases stably treated as Glaucoma, cataract, deviation of crystalline lens, inflammation of the uveal tract and pupillary block and stickiness and diseases of eyelid are now classified according to the standards of eyesight, then lowered one type

...

Outer ear:

...

14.1. Normal

...

14.3. Chronic inflammation of the outer ear tubes or narrow and deformed ear canal.

...

Middle ear

...

15.1. Normal

15.2. Chronic inflammation of middle ear with pus or mucus or perforated eardrum

- Perforation of lower front eardrum and lower rear eardrum

...

Inner ear

...

16.1. Measured by whisper (softly speaking)

...

- 5cm in one ear and 5cm in the other ear

- 4cm in one ear and 2cm in the other ear

...

- 3cm in one ear and 1cm in the other ear

...

- 2cm in one ear and 0.5cm in the other ear

- 1cm in one ear and 0.1cm in the other ear

...

16.2. Measured by audiometer

...

- No decrease in hearing ability or with decrease of less than15 dBA

...

- Decrease in hearing ability in both ears from 36-45 dBA

...

- Decrease in hearing ability in both ears from 46-65 dBA

...

- Decrease in hearing ability in both ears of more than 65 dBA

...

17.1. Normal

...

17.2. Chronic mastoiditis

17.3. Mastoiditis with surgical treatment

...

- Ear getting dry and hearing ability slightly decreased

...

- Ear still flowing, hearing ability moderately decreased

- Ear continuously flowing pus and hearing ability heavily decreased

...

Nose

...

18.1. Normal

...

- No respiratory disorders

...

- Mild respiratory disorders

...

- Obvious respiratory disorders

- There is a chronic respiratory disorder affectting the chest structure

...

18.3. Vasomotor rhinitis, allergic rhinitis and simple chronic rhinitis (drainage, stuffiness, nasal congestion and recurrence)

...

- No significant respiratory dysfunction.

- Clear respiratory dysfunction, good body condition

...

- Clear respiratory dysfunction, poor body condition

...

18.4. Atrophic rhinitis, nasal hemorrhoids and frequent nosebleed

...

19.1. Normal

...

19.2. Simple chronic pharyngitis, good body condition

...

19.3. Chronic pharyngitis, excessive mucosal thickening, granular pharyngitis... frequent fever, cough, affecting body condition.

Tonsil:

...

20.1. Average tonsil, not affecting function, good body condition

...

20.2. Slightly large or medium-sized tonsil, occasionally inflamed, not affecting the body condition

20.3. Chronic tonsil inflammation with pus cavity or recurrent infection affecting body condition.

...

20.4. Tonsil removed with good result

...

Larynx

...

21.2. Chronic laryngitis

...

-No much disturbance to pronunciation, voice still distinguished, good body condition

...

- Clear pronunciation disorder, voice distinction with difficulty, poor body condition

21.3. Paralysis of laryngeal opening and closing muscle

...

21.4. Simple hoarseness (due to particle of vocal cords or vocal cord polyp), no paralysis of vocal cord (regression cord)

...

21.5. Stuttering

- Saying one sentence, stuttering a 4-5 times

...

- Saying one sentence, stuttering two times or more for 4 or 5 words

...

21.6. Deformation of larynx due to injury sequelae, adhesive inflammation, deformed laryngeal scar, narrow glottis, laryngeal tumour ... affecting function

...

Facial sinus

...

22.1. Normal

...

22.2. Highmoritis or inflammation of chronic joint sinus (ethmoid-jaw) not affecting breathing function

22.3. Chronic multiple sinusitis at one side + nasal polyp

...

22.4. Chronic multiple sinusitis at both sides + nasal polyp at one side

...

22.5. Chronic multiple sinusitis at both sides + nasal polyp at both sides

22.6. Sinus surgically treated and polyp cut, good stability

...

TOOTH, JAW AND FACE

...

Decayed teeth

...

23.2. Enamel and dentin decay from 01-03 teeth, no pain or filled

...

23.3. Enamel and dentin decay from 04-05 teeth, no pain or filled

...

23.4- Enamel and dentin decay from 06 teeth or more

Tooth loss:

...

(See Appendix 3: Loss of chewing ability)

...

24.1- Full teeth excluding wisdom teeth

24.2- Loss of 01 or 02 teeth, chewing ability over 90%

...

24.3- Loss of teeth, chewing ability from 81-90 %

...

24.4- Loss of teeth, chewing ability from 61-80%

...

Inflammation around the tooth:

(See classification standards of inflammation and pathological gum Appendix 4)

...

25.1- No inflammation

...

25.2- Inflammation around 4-5 teeth, depth of gum pocket at level 3 or more

25.3- Inflammation around 6-11 teeth, depth of gum pocket at level 3 or more

...

25.4- Inflammation around 12 teeth or more, depth of gum pocket at level 3 or more

...

If severe inflammation around the tooth resulting in loose tooth and no more chewing effect with indicated tooth extraction, this teeth is considered as lost and pro-rated loss of chewing ability

...

26.1- None

...

26.2- 1-2 teeth with myelitis and apical inflammation successfully cured

...

26.3- 1-2 teeth with myelitis and apical inflammation without being cured (marrow canal sealing)

Wisdom tooth:

...

27.1- Normal

...

27.2- With complication well treated

27.3- Wisdom tooth under complication

...

Jawbone:

...

28.1- Normal

...

28.3- Occlusion with mild deviation, still able to chew

...

28.4- Occlusion with more deviation, affecting chewing ability

...

Gingivitis:

29.1- No inflammation

...

29.2- Gingivitis of no more than ½ number of teeth

...

29.3- Gingivitis of more than ½ number of teeth

Inflammation of parotid gland:

...

30.1- No inflammation

...

30.2- Inflammation cured, no recurrence for 01 year or more

...

Harelip and cleft palate:

...

31.1- None

...

31.2- Single harelip without cleft palate

31.3- Harelip repaired with little effect on pronunciation and aesthetics

...

31.4- Uvula split, small cleft repaired on soft palate, no lisp

...

31.5- Cleft palate repaired but with effect on pronunciation

31.6- Harelip together with cleft palate

...

PSYCHOLOGY - NEUROLOGY

...

Schizophrenia of various forms:

...

32.2- Schizophrenia of various forms

...

Symptomatic and organic psychosis:

...

33.1- None

33.2- Psychosis due to brain injury, after bacterial contamination or mental illness, or as sequelae after treatment

...

- Mental operations recovered but mild cardiovascular disorders and autonomic nervous system disorders

...

33.3- Depresive psychosis and hypochondriac syndrome:

- Acute, sub-acute and chronic

...

- Lasting and stable compensation, mental operation well recovered

...

Psychopathy of all forms and degree

...

35.1- No epilepsy

...

35.2- Rare and infrequent epileptic seizures(cured but still less than 03 seizures/year)

...

35.3- Minor or major epileptic seizures with change of mood, behaviour and personality

Neurasthenia syndrome of organic mental illness:

...

36.1- None

...

36.2- Headache, mild insomnia

36.3- Memory impairment, reduced work capacity, poor body condition

...

Sweaty hands and feet:

...

37.1- None

...

37.3- Moderate and heavy

...

Tendon reflexes:

...

38.1- Normal

38.2- Increase or no increase on both sides, there is no sense movement disorders (classified by cause)

...

38.3- Decrease equally on both sides, there is sense movement disorders (classified by cause)

...

Systematic dizziness, vestibular and cerebellar disorders:

39.1- None

...

39.2- Mild (occurring 1-2 times/year)

...

39.3- Moderate and heavy, stably cured over 01 year

...

40.1 – No palsy

...

40.2 - Palsy:

...

With sequelae, mouth slightly distorted when smiling, not affecting eye closing and pronunciation.

- There are still sequelae of mouth distortion effecting eye closing and pronunciation.

...

Nerve paralysis:

...

41.1 - No paralysis

41.2 - Paralysis of radial nerve, cutaneous nerve, sciatic nerve and lateral popliteal nerve

...

41.3 - Other paralysis of peripheral nerves”

...

- Loss or decrease in working capacity of partial limb

...

Sequelae of central nervous system injury

...

41.1 None

...

42.2 - Paralysis of cranial nerve or spinal cord restricting the ability of manual labor.

Radicular pain and nerve plexus:

...

43.1 – No pain

...

43.2 - With pain clearly effecting working capacity

Neuromuscular disease

...

44.1 - None

...

44.2 - Mild atrophy with little effect on movement.

...

44.4 - Myasthenia gravis

...

CIRCULATION

...

Arterial blood pressure:

45.1 - Less than 30 years of age:

...

Maximum Minimum

...

- 110 - 125 mmHg 65 - 85 mmHg

- 126 - 135 mmHg 60 - less than 90 mmHg

...

- 136 - 140 mmHg 90 - 95 mmHg

...

- More than 140 mmHg More than 95 mmHg

...

45.2 - From 30 - 50 years of age:

...

Maximum Minimum

...

- Less than 140 mmHg Less than 90 mmHg

- 140 - 145 mmHg 90 - 95 mmHg

...

- Trên 150 mmHg 96 - 100 mmHg

...

Pulse:

46.1 - Circuit frequency: (times / min)

...

- 60 -75 times/minute

...

- 76 -85 times/minute

...

- Over 95 or from 55 times/minute

...

46.2 - Endarteritis obliterans and thrombophlebitis

...

- No obliterans

- No necrosis in the extremities

...

+ Necrosis of the extremities with surgical intervention.

...

Varicose vein:

47.1 - Varicose vein in the hollow of knee and lower leg

...

- None

...

- Not forming tuft

...

- Treated with surgery, good result

...

47.2 - Varicose veins of the spermatic cord

...

- None

- Mild (large and straight vein not intertwined upon touch)

...

- Heavy (intertwined into tuft)

...

Heart beat:

48.1 - No heart beat disorders

...

48.2 – Extrasystole:

...

- Infrequent, less than 6 beats/minute:

...

+ Failure of loss or decrease after strenuous motion

...

- Rapid, over 7-12 beats/minute

...

- Full arrhythmias:

+ Each short crisis

...

+ Continuously

...

48.3 - Full conduction disorders in heart muscle

Heart disease:

...

49.1 - No heart disease

...

49.2 - There are breath sounds of systolic function

...

49.4 - Physiologic splitting of heart sounds

...

49.5 - Congenital heart disease:

...

- No cyanosis, no heart failure.

- Causing cyanosis with heart failure.

...

- Dextrocardia

...

49.6 - Acquired heart disease:

- Heart valve disease (excluding mitral stenosis), no heart failure.

...

- Myocardial fibrosis, mitral stenosis and other heart diseases:

...

+ No heart failure

...

- Treated with surgery on the heart and heart valves.

...

- Organic diseases in myocardium, pericardium, aorta and coronary arteries

...

Blood - Lymph:

50.1 - Normal (According to the physiological constants of Vietnamese people)

...

50.2 - Diseases of the blood-forming organs.

...

50.3 - Consequence of blood on radiation disease

50.4 - Filariasis

...

50.5 - Regularly severe anemia due to causes.

...

50.6 - Anemia due to congenital causes (diseases of erythrocytes, leukocytes, clotting disorders)

...

Pleura:

...

51.1- Normal

...

51.2- Pleuritis, pleural effusion and empyema successfully treated:

- No adhesion or mild adhesion

...

- Mild adhesion in all side of lung

...

51.3- Pneumothorax

...

52.1-Normal

...

52.2- Mild bronchiectasis, chronic obstructive bronchitis )

52.3- Non-obstructive chronic bronchitis

...

52.4- Bronchial asthma : * Mild and moderate

...

* Heavy

...

Lung:

...

53.1- Normal

...

53.2- Emphysema, atelectasis, cutting of pulmonary lobe

53.3- Diseases of silicosis

...

- Treated and stabilized over 3 years

...

- Tuberculofibrosis

53.5- Lung cancer

...

DIGESTION

...

Esophagus:

...

54.2- Chronic inflammation of esophagus, esophageal dilation and esophageal ulcer

...

54.3- Esophageal stenosis

...

54.4- Esophageal varices

54.5- Esophageal cancer

...

Stomach and duodenum:

...

55.1- Normal

...

55.3- Peptic ulcer:

...

- No complication

- With complications: bleeding, pyloric stenosis

...

* Degree II, III

55.5- Duodenal ulcer:

...

- No complication

...

- With complication

...

- Good result

...

- No good result

...

55.7- Gastric ulcer

Colon, rectum

...

56.1- Normal

...

56.2- Chronic rectal dysfunction

- Mild

...

- Moderate

...

- Heavy

...

- Mild

...

- Moderate

...

- Heavy

56.4- The benign diseases of the colon with surgical intervention

...

56.5- Colorectal polyp:

...

- Small peduncle successfully treated

- Bleeding

...

56.6- Colon and rectum cancer

...

Anal and rectum:

...

57.2- Anal fistula:

...

- Simple, treated well

...

- Complex, treated several times

...

57.4 - Anal fissure

...

- Treated, good result

- Infectious, treated several times

...

57.5- Hemorrhoid:

...

- None

- External hemorrhoid: + Degree I

...

+ Degree II

...

+ Degree III

...

- Combination of external and internal hemorrhoid with few complications

...

- Hemorrhoid ligated recurring with

...

Tiểu tràng Small intestine:

58.1- Normal

...

58.2- Small intestine perforated due to causes to be treated with surgery:

...

- Good result, no effect on digestion

- There are effects on digestion and living activities with partial obstructive syndrome

...

58.3- Mechanical bowel obstruction treated with surgery

...

- Good result

...

- Inguinal hernia + No surgical treatment

...

+ Treated with surgery, good result

...

+ Treated with surgery, no good result

58.4- Intestinal parasites

...

- No cause of functional changes

...

- Cause of functional changes

Appendix:

...

59.1- Normal or treated with surgery since a child, good result

...

59.2- Surgically treated, good result (adult)

...

Liver:

...

60.1- Normal

...

60.2- Hepatitis successfully cured for over 12 months, normal health

60.3- Chronic persistent hepatitis and chronic active hepatitis

...

60.4- Unexplained cirrhosis and hepatomegaly

...

60.5- Liver contusion treated with good result

60.6- Liver abscess with surgical intervention, currently stabilized

...

60.7- Liver abscess ruptured, causing complications, but successfully treated

...

60.8- Liver cancer

...

61.1- Normal

...

61.2- Chronic inflammation of bile cyst and bile duct

...

61.3- Gallstones and cholecystectomy

61.4- Gallstones of common bile duct

...

61.5- Chronic pancreatitis

...

61.6- Acute pancreatitis successfully treated

61.7- Pancreatitis with bleeding surgically treated

...

61.8- Pancreatic cancer

...

Spleen:

...

62.2- Chronic splenomegaly with sclerosis

...

62.3- Splenectomy with good results

...

62.4- Spleen contusion well surgically treated

UROLOGY - GENITALIA

...

Urology:

...

63.1- Normal

63.2- 01 kidney cut

...

63.3- Kidney tumour treated with surgery without complications

...

63.4- Chronic kidney disease: glomerulonephritis due to the causes, kidney failure, tumors ...

...

- With kidney failure

...

63.5- Congenital kidney disease (ectopia, polycyst and deformity)

...

- No kidney failure

- With kidney failure

...

63.6- Kidney stone * Surgically treated, good results

...

* No surgical treatment

63.7- Ureterolith

...

63.8- Cystolith:

...

- Surgically treated, good result

...

Male genitalia:

...

64.1- Normal

...

64.2- Narrow foreskin:

- No surgical treatment

...

- Surgically treated, good result

...

- Urinary effect after surgery

64.3- Missing testicle

...

- Missing 01 testicle or 01 undescended testicle

...

- Missing 02 testicles or 02 undescended testicles

...

- Good treatment

...

- No treatment

...

64.5- Penile amputation

64.6- Penile cancer

...

Female genitalia:

...

65.1- Normal, regular menstruation

65.2- Menstrual disorders (irregular menstruation, period lasting 6-7 days)

...

65.3- Menorrhagia, polymenorrhea and hypermenorrhea

...

65.4- Menoschesis and amenorrhea ( classified depending on the causes)

...

65.6- Ovarian cyst, uterine fibroid:

...

- No surgery

...

- Surgically treated, good result

65.7- Inflammation of appendage: - Surgically treated, good result

...

- No surgery

...

65.8- Caesarean section:

- 01^st section without complication

...

- 2^nd section without complication

...

- 3^rd section without complication

...

- No surgery

...

- Surgically treated, good result

...

KINETIC SYSTEM

...

66.2- Dislocation:

...

- Application of manipulation and adjustment without sequelae

...

- Dislocation of large joint without manipulation and adjustment resulting in physical defect effecting the working and studying

- Dislocation of large joint surgically treated:

...

+ Stable after 01 year, normal working and living activities

...

+ Sequelae: Restricted movement, deformity, or stiffness of joint

+ Pathological dislocation of large joints

...

66.3- Artificial joint:

...

- Together with the loss of large section of bone and short section of limb over 5 cm;

...

66.4- Stiffness and adhesion of joints:

...

- Joints of shoulder, elbow, knee, groin and spine

...

- Joints of wrist and ankle

66.5- Congenital malformation (large joints, loss of section of bone caput)

...

Bone:

...

67.1- No bone fracture

67.2- Fracture of large bone:

...

- Good healing, straight axis and stability after 1 year, unlimited motion

...

- Bone healing, malunion, axis deviation effecting motion and degenerative complications

...

- Fracture of 01 rib, good union

...

- Fracture of 02-03 ribs, good union

...

- Fracture of more than 03 ribs, good union

67.4- Humpback and hyperextension:

...

- Due to innateness

...

- Due to suffering

67.5- Spinal stiffness and adhesion due to causes effecting motion and working

...

- Mild

...

- Moderate

...

Length of limbs:

...

68.1- No difference of length of limbs

...

68.2- With difference of length of limbs:

- From 1-2 cm

...

- From 3-4 cm

...

- From more than 4 cm

O-shaped or x-shaped bow-legs

...

69.1- Normal

...

69.2- Bow-legs:

...

- With effect on walking, running and hopping

...

Flatfeet:

...

70.1- No flatfeet

70.1- Flatfeet

...

- Degree I

...

- Degree II

- Degree III

...

Heloma, corn and calluses and pitted keratolysis

...

71.1- None

...

- Keratodema but still soft upon manipulation, no effect on walking

...

- Keratoderma causing bulging and hardness with effect on the walking

...

71.3- Corn and calluses

- Diameter of less than 01 cm but less than 02 corns, no effect on the walking

...

- Diameter of less than 01 cm but less than 03 corns, no effect on the walking

...

- Diameter of over 01cm with more than 03 corns, with effect on the walking.

71.4- Pitted keratolysis

...

- Diameter of depression point of less than 02cm with 1-2 points in 01cm², no effect on walking

...

- Diameter of depression point of less than 02cm with over 02 points in 01cm², no effect on walking

...

- Fracture of more than 03 ribs, good union

...

67.4- Humpback and hyperextension:

...

- Due to innateness

- Due to suffering

...

67.5- Spinal stiffness and adhesion due to causes effecting motion and working

...

- Mild

- Moderate

...

- Heavy

...

Length of limbs

...

68.2- With difference of length of limbs:

...

- From 1-2 cm

...

- From 3-4 cm

- From more than 4 cm

...

O-shaped or x-shaped bow-legs:

...

69.1- Normal

69.2- Bow-legs:

...

- No effect on walking, running and hopping

...

- With effect on walking, running and hopping

...

70.1- No flatfeet

...

70.1- Flatfeet

...

- Degree I

- Degree II

...

- Degree III

...

Heloma, corn and calluses and pitted keratolysis

71.1- None

...

71.2- Heloma:

...

- Keratodema but still soft upon manipulation, no effect on walking

...

71.3- Corn and calluses

...

- Diameter of less than 01 cm but less than 02 corns, no effect on the walking

...

- Diameter of less than 01 cm but less than 03 corns, no effect on the walking

- Diameter of over 01cm with more than 03 corns, with effect on the walking.

...

71.4- Pitted keratolysis

...

- Diameter of depression point of less than 02cm with 1-2 points in 01cm², no effect on walking

- Diameter of depression point of less than 02cm with over 02 points in 01cm², no effect on walking

...

- Diameter of depression point of more than 02cm with 02 points in 01cm², with effect on walking

...

Loss of fingers and toes:

...

72.2- Loss of 1-2 phalanxes:

...

- Thumb, big toe, index finger of dominant hand, from other 2 fingers or toes of hand and foot.

...

- Other fingers or toes of hand and foot

72.3- Loss of 01 finger or toe

...

- Thumb or great toe of hand or foot

...

- Index finger of dominant hand

- Other fingers or toes of hand or foot

...

72.4- Loss of 02 fingers or toes particularly no loss of thumb, index finger of dominant hand, no loss of big toe.

...

72.5- Loss of 03 fingers or more particularly no loss of thumb and and index finger

...

73.1- No adhesion between fingers and toes:

...

73.2- With adhesion between fingers and toes:

...

- Not surgically treated:

- Surgically treated:

...

+ Little effect on motion of hand and foot

...

+ Much effect on motion of hand and foot

Extra finger or toe:

...

74.1- No extra finger or toe

...

74.2- Extra finger or toe not amputated with no effect on hand or foot or amputated with effect on hand or foot.

...

75.1- No contraction of fingers or toes

...

75.2- With contraction:

...

- From 1-2 fingers or toes affecting living activities and working

- From 3-4 fingers or toes affecting living activities and working

...

- From 5 fingers or toes affecting living activities and working

...

Deviation and distortion of big toe:

76.1- No deviation

...

76.2- Deviation and distortion:

...

- No effect on footwear, carrying, running and hopping

...

Tuberculosis of bone:

...

77.1- None

...

77.2- Tuberculosis of bone successfully treated and stabilized

Bone and joint cancer

...

DERMATOLOGY – VENEREOLOGY

...

(ringworm, fungal groin)

...

79.1- None

...

79.2- Simple form without complications of infectious skin inflammation, area no larger than the one of palm of object

79.3- With infectious complications, area larger than the one of palm of object

...

Mycosis interdigitalis:

...

80.1- None

...

80.3- With onychomycosis and cutaneous fungus

...

Chromophytosis:

...

81.1- None

81.2- Simple form not exceeding 1/3 area of body

...

81.3- Form of diffusion

...

Scabies:

82.1- None

...

82.2- Simple form without complication

...

82.3- Form of dissemination:

...

- With complicated pyelonephritis

...

Eczema:

...

83.1- None

83.2- Chronic

...

83.3- Acute superinfection

...

Durhing, Pemphigus:

84.1- Durhing

...

- None

...

- Mild form circumscribed at one spot

...

84.2 - Pemphigus:

...

- None

...

- Form of oily skin and leaf-like scale

- Vulgaris and vegetans form

...

Lupus erythematosus and Psoriasis

...

85.1- Lupus erythematosus:

-None

...

- Classic lupus erythematosus

...

- Systemic lupus erythematosus

...

- None

...

- Circumscribed normal form

...

- Form of diffusion, erythroderma

- Form of joint

...

Pompholyx and nervous dermatitis

...

86.1- None

86.2- With pompholyx and nervous dermatitis

...

Urethritis venerea:

...

87.1- None

...

87.3- Persistent chronic urethritis venereal

...

Syphilis:

...

88.1- None

88.2- Syphilis I successfully treated

...

88.3- Syphilis I clinically successfully treated and tested

...

88.4- Non-cured syphilis I and II not classified

88.5- Neurosyphilis and cardiovascular syphilis

...

HIV/AIDS:

...

89.1- None

...

89.3- AIDS

...

Leprosy:

...

90.1- None

90.2- With leprosy

...

- No disablement

...

- Disablement of degree I

- Disablement of degree II

...

Chancroid:

...

91.1- None

...

- Unsuccessfully treated

...

- Successfully treated

...

92.1- None

...

92.2- With condilom:

...

- Unsuccessfully treated

- Successfully treated

...

Nicolas Favre disease:

...

93.1- None

93.2- With Nicolas Favres:

...

- Unsuccessfully treated

...

- Successfully treated

...

94.1- None

...

94.2- With onychia and paronychia:

...

- Successfully treated

...

ENDOCRINOLOGY - METABOLISM

...

Thyroid disease:

95.1- None

...

95.2- Small benign tumor

...

95.3- Large benign tumor affecting respiration

95.4- Basedow: - No cardiac complications

...

- With cardiac complications

...

95.5- Cancer

...

96.1- None

...

96.2- Hypopituitarism or hyperpituitarism

...

Diabetes:

97.1- None

...

97.2- With diabetes:

...

- No complication:

+ Type I (Insuline dependent)

...

+ Type II (Insuline Non-insulin-dependent)

...

- Complication of eye, kidney, block of blood vessel

...

98.1- None

...

98.2- With diabetes insipidus: - Mild

...

- Moderate

- Heavy

...

Adrenocortical hyperfunction:

...

99.1- None

99.2- Adrenocortical hyperfunction without surgey

...

99.3- Adrenocortical hyperfunction with successful surgical treatment

...

100

Obesity disease:

...

100.2- With obesity disease (See Appendix 6)

...

- BMI Body Mass Index (BMI) = 25

...

- BMI = From 26-27

- BMI = From 28 or more

...

TUMOUR OF VARIOUS TYPES

...

101

Benigh tumour:

101.1- None

...

101.2- Tumour not affecting the working and studying

...

101.3- Tumour obstructing movement is surgically treated with good result

102

...

102.1- None

...

102.2- With pernicious tumour

...

1. General principle:

1.1. First classifying by each organ and system under Part II (health classification standard)

1.2. Then classifying health under each object (type I, II, III, V) on the basis of the classification of organ and system.

2. Classification of physical health and organ and system: (Appendix 2)

3. Classification of health

3.1. Classification indexes:

3.1.1. General physical strength Symbol (viết tắt) TLC

3.1.2. Eye symbol (abbreviated) M

3.1.3. Ear, nose, throat symbol (abbreviated) TMH

...

3.1.5. Psychology - neurology symbol (abbreviated) TT-TK

3.1.6. Circulation symbol (abbreviated) TH

3.1.7. Respiration symbol (abbreviated) HH

3.1.8. Digestion symbol (abbreviated) T.hóa

3.1.9. Urology - genitalia symbol (abbreviated) TN-SD

3.1.10. Kinetic system symbol (abbreviated) HVD

3.1.11. Dermatology – venereology symbol (abbreviated) ND-DL

3.1.12. Endocrinology - metabolism symbol (abbreviated) NT-CH

3.1.13. Tumour of various types symbol (abbreviated) U

...

3.3. Health classification: Based on the classification of indexes, doctor shall classify health:

Type I: All 13 indexes satisfy type I

Type II: Only 01 lowest index as type II, classified as type II

Type III: Only 01 lowest index as type II, classified as type III

Type IV: Only 01 lowest index as type IV, classified as type IV

Type V: Only 01 lowest index as type V, classified as type V

IV- EXAMINATION FOR ADMISSION TO SCHOOLS, TRADES AND PROFESSIONS

1. Examination for admission to Universities, intermediate technical schools and vocational schools

The Vietnam citizen eligible for health of disciplines, trades and professions prescribed by the Ministry of Health are subject to be admitted in school subjects.

...

- Vietnam citizens with disabilities and health of type IV and V are also subject to be examined for admission to vocational school but the learning at any school or any trade shall be decided by the examination and recruitment Board based on disability and disease of these persons to determine what trades and professions shall be learnt by them;

2- Examination for recruitment, labor contract:

2.1- Health standard is one of the conditions for recruiting and signing labor contracts signed dong. When recruiting and implementing contracts, it is required to comply with the health standard of each trade and profession under the regulations of the Ministry of Health;

For trades and professions directly operating means of transportation and mechanical construction of road, railway, waterway, seaway, airway, trades and professions heavy, hazardous or dangerous and extremely heavy, hazardous or dangerous, these persons must be eligible for health of type I and II.

For mainly physical labor, it is required to ensure the health from type III or more.

2.2- People with disabilities and health of type IV and V are also subject to examination for recruitment and implementation of labor contracts, but the recruitment and implementation of labor contracts with any trade and profession must be decided by the examination and recruitment Board based on disability and disease of those people for decision.

V- APPENDIX

Appendix 1- NOTE IN CLINICAL EXAMINATION

1. Rounded figures:

...

Eg: Height: 165.50 cm, write 166cm

159.49cm write 159cm

Weight: 44.5kg write 45kg

48.47cm write 48cm

Chest circle: 77.5cm write 78cm

80.48cm write 80cm

2. Average chest circle:

It is likely to be calculated by one of two ways:

- Measuring around the chest when breathing in and breathing out strenuously, then adding up together and divided by 2.

...

3. Eyesight:

- If one eye has the eyesight higher than 10/10, still only 10/10.

Eg. Right eye has the eyesight of 11/10, left eye has the eyesight of 6/10, the total eyesight of both eyes is 16/10.

When calculating the total eye sight of both eyes, the eye on the side of dominant hand must follow the specified index as classified.

4. Pterygium (indicator 2):

- Pterygium degree I: Pterygium budding at the edge of the cornea

- Pterygium degree II: Pterygium invading the cornea from 2-3mm.

- Pterygium degree II: Pterygium reaching the edge of the pupil

- Adhesive Pterygium: Pterygium adhering to the socket or edge of eyelid and usually limiting the eyeball movement.

...

- Corneal scarring is a thin opaque film on the cornea (smoky film).

- Adhesive scar is the scar with adhesion of iris distorting pupil;

6. Measurement of whisper (indicator 16.1)

- The examiner breathes out and whispers for testing;

- It is required to test each ear (ear not tested must be sealed by pressing finger on the ear flap by the testee)

- Voice emitted perpendicularly to the tested ear.

- The testee whose eye must be cover so as not to see the tester

7. Facial sinus (indicator 22):

Chronic inflammation of the maxillary sinus, chronic multiple sinus inflammation must be identified on radiographs (taken with Blondeau and Hirtz).

...

- Loss of one tooth is regarded as loss of facing tooth. The chewing ability is evaluated according to Appendix 3.

- Tooth becoming loose to the extent that it can not be treated and need extracting or losing tooth root or only remaining tooth root is regarded as tooth loss.

9. Epilepsy (indicator 35):

- Epilepsy must be diagnosed at hospital and the diagnosis is based on electroencephalogram (EEG);

10. Sweaty hands and feet (indicator 37):

- Mild: Touching hands just feeling slightly warm with spray-like wetess of sweat, not long streak upon looking at the life lines. Wiping hand dry, then sweat reappears after 10 minutes;

- Mild: Heavier than the mild type and even seeing foot sweat;

- Heavy: Summer as well as winter, hands are always sweaty, feeling cold when touching finger tip, sheen of sweat in the life line rolling into streak and drips. After wiping sweat for 5-6 minutes, sweat secretes as previously. This type is often accompanied by a full body sweat, especially when affected by emotion

11. Neuromuscular disease (indicator 44)

...

- Myasthenia gravis usually has sign of drooping eyelids which can open in the morning but clearly droop in the evening. The other muscles can move relatively well initially, after a time of early mobilization, after a time of movement and in the evening muscles become weaker and weaker.

12. Arterial blood pressure ( indicator 45):

If the blood pressure is unusually high, it is necessary to let that person take a rest in 10-15 minutes, then re-measure at least 3 times at different times. It is require to control that person in 2-3 hours before re-measurement.

13. Pulse (indicator 46):

- Taking pulse for 2 minutes and then dividing in two.

- If the pulse is simply fast without accompanied blood pressure and cardiovascular disease, let that person sit down or lying down to take a rest (with the supervision of examiner). Taking pulse after 2-4 hours;

- Slow pulse: Note that for athletes, sportman, professional players, their heart can beat 50 times / minute.

14. Severe anemia due to the causes (indicator 50.5):

Upon clinical examination, if thinking about severe and regular anemia, it is required to identify it by blood formula, less than 3 million red blood cells, less than 10g/100ml of hemoglobin.

...

- Mild: Mild dyspnea occasionally appears at night in the cold season, not affecting body condition, normal working without being hospitalized.

- Moderate: Suffering for 10-15 years, asthma attacks occur at night and in the morning and recur depending on the weather although health is still quite good.

- Heavy: Sufffering for 10-15 years, asthma attacks occur both day and night with emphysema, chronic cor pulmonale, chronic bronchitis, continuously hospitalized;

16. Cronic dsfunction of large intestine (indicator 56.2):

- Mild: 1-2 short times each year, little and mild pain, mild bowel dysfunction, little affecting the living activities and health in general;

- Moderate: 3-4 short times each year, significant pain intensity, prolonged gastrointestinal disorder affecting daily life and health.

- Heavy: More than 04 times each year or prolonged pain lasting month, significant pain intensity affecting daily life, health and spirit.

17. Stiffness and adhesion of joints (indicator 66.4):

(See Appendix 5)

...

Simple form is slightly red skin, clear edge bordering, non-bulging base, no complications of dermatitis.

19. Leprosy (indicator 90.2):

- Disability of degree I: Loss of sensation, change of skin color.

- Disability of degree II: Ulcer, and amputation of phalanxes, fingers…

20. Obesity disease (indicator 10):

(See Appendix 6)

Appendix 2: CLASSIFICATION OF PHYSICAL STRENGTH, ORGANS AND SYSTEM

Type

...

Organ,
system

Type I

Type II

Type III

Type IV

Type V

Physical strength

All 03 indicators satisfy type I or only chest circle satisfies type II

All 03 indicators satisfy type I and II or only chest circle satisfies type III

...

01 indicator satisfies type IV

01 indicator satisfies type V

Eye

All 13 indicators satisfy type I or only indicator 3.2 satisfies type II

All 13 indicators satisfy type I or II or more

All 13 indicators satisfy type III or more

01 indicator satisfies type IV

01 indicator satisfies type V

Ear – Nose -Throat

...

All 09 indicators satisfy type I or only indicator 20.3 satisfies type III

All 09 indicators satisfy type 3 or more

01 indicator satisfies type IV

01 indicator satisfies type V

Tooth-Jaw-Face

All 09 indicators satisfy type I or only indicator 24.2 and 27.2 satisfy type II

All 09 indicators satisfy type I and II or only indicator 23.3 and 29.3 satisfy type II

All 09 indicators satisfy type 3 or more

01 indicator satisfies type 4

...

Psychology - Neurology

All 13 indicators satisfy type I or only indicator 35.2, 37.2 and 38.2 satisfy type II

All 13 indicators satisfy type 2 or more

All 13 indicators satisfy type 3 or more

01 indicator satisfies type 4

01 indicator satisfies type 5

Circulation

All 06 indicators satisfy type I or only indicator 45.1 satisfies type II

...

01 indicator satisfies type 4

01 indicator satisfies type 5

Respiration

All 03 indicators satisfy type I

Type I and 2

All 03 indicators satisfy type I and II

All 03 indicators satisfy type III or more

01 indicator satisfies type 4

01 indicator satisfies type 5

...

All 09 indicators satisfy type I or only indicator 58.3 and 59.2 satisfy type II

All 09 indicators satisfy type I and II

All 09 indicators satisfy type III or more

01 indicator satisfies type 4

01 indicator satisfies type 5

Urology - Genitalia

All 03 indicators satisfy type I

All 03 indicators satisfy type I and II

All 03 indicators satisfy type III or more

...

01 indicator satisfies type 5

Kinetic system

All 13 indicators satisfy type I or only indicator 69.2 and 71.2 satisfy type II

All 13 indicators satisfy type I or only indicator 67.2 and 71.4 satisfy type III

All 13 indicators satisfy type III or more

01 indicator satisfies type 4

01 indicator satisfies type 5

Dermatology – Venereology

All 16 indicators satisfy type II or only indicator 82.2 satisfies type II

...

All 16 indicators satisfy type III or more

01 indicator satisfies type 4

01 indicator satisfies type 5

Endocrinology - metabolism

All 06 indicators satisfy type I

All 06 indicators satisfy type I and II

All 06 indicators satisfy type III or more

01 indicator satisfies type 4

...

Tumour of various types

All 02 indicators satisfy type I

All 02 indicators satisfy type I and II

All 02indicators satisfy type III or more

01 indicator satisfies type 4

01 indicator satisfies type 5

Appendix 3: CLASSIFICATION OF LOSS OF CHEWING ABILITY

Upper jaw

...

Tooth No.

...

Lower jaw

Tooth No.

...

Chewing ability %

...

Degree 1: Natural gum bleeding

Degree 2: Gum bleeding + dental cement (dental plaque) (from 06 teeth or more)

Degree 3: Depth of gum pocket of less than 4 mm

Degree 4: Depth of gum pocket of more than 5 mm

Appendix 5. TABLE OF MOVEMENT FUNCTION EVALUATION

Joint name

Function

Normal

...

Function

Normal

Shoulders

- Moving forward

- Horizontally moving

- Moving backward

- Rotating

185^o

...

360^o

Groin

- Bending

- Stretching

- Turning outward

- Turning inward

- Closing

- Spreading

125^o

...

40^o

35^o

90^o

Elbow

135^o

Knee

Bending

...

Wrist

-Bending

-Turning upward

-Closing

-Spreading

62⁰

50⁰

40⁰

30⁰

...

- Bending

- Stretching

- Turning outward Turning inward

45^o

35^o

45^o

30^o

Appendix 6: Body Mass Index (BMI) of WHO

...

Body weight (kg)

(Vertical height (m))²

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