MINISTRY OF HEALTH OF THE SOCIALIST REPUBLIC OF VIETNAM

VIETNAM Independence - Freedom - Happiness

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No. 09/2023/TT-BYT Hanoi, May 05, 2023

CIRCULAR

AMENDMENTS TO SOME ARTICLES OF CIRCULAR NO. 14/2013/TT-BYT DATED MAY 06,

2013 OF THE MINISTER OF HEALTH ON GUIDANCE ON HEALTH CHECKUPS

Pursuant to Law No. 84/2015/QH13 dated June 25, 2015 on occupational safety and hygiene;

Pursuant to the Labor Code No. 45/2019/QH14 dated November 20, 2019;

Pursuant to Government’s Decree No. 145/2020/ND-CP dated December 14, 2020 on elaboration of
some Articles of the Labor Code on working conditions and labor relations;

Pursuant to the Government’s Decree No. 95/2022/ND-CP dated November 15, 2022 on functions,
tasks, powers and organizational structure of Ministry of Health of Vietnam;

At the request of Directors of Department of Maternal Health and Children and Department of
Medical Services Administration;

The Minister of Health promulgates Circular on amendments to some Articles of Circular No.
14/2013/TT-BYT dated May 06, 2013 of the Minister of Health on provision of guidance on health
checkups.

Article 1. Amendments to some Articles and Appendix of Circular No. 14/2013/TT-BYT dated
May 06, 2013

1. Point a Clause 4 Article 4 shall be amended as follows:

“a) A periodic health checkup record according to form specified in Appendix 3a issued together with
this Circular."

2. Clause 3 Article 6 shall be amended as follows:

“3. The periodic health checkup shall follow contents stated in the periodic health checkup record
specified in Appendix 3a issued together with this Circular.

When undergoing health checkups, female employees shall receive obstetric and gynecological
examinations according to Appendix 3b enclosed herewith."

Article 2. Effect

1. This Circular comes into effect from June 20, 2023.

2. Appendix 3a of this Circular replaces Appendix 3 of Circular No. 14/2013/TT-BYT dated May 06,
2013 of the Minister of Health on provision of guidance on health checkups.

Article 3. Implementation

1. Director of Department of Maternal Health and Children, Director of Department of Medical

Services Administration, heads of units of and affiliated to the Ministry of Health, Directors of
Departments of Health of provinces and central-affiliated cities and relevant organizations and
individuals shall be responsible for the implementation of this Circular.

2. Difficulties that arise during the implementation of this Circular should be reported to the Ministry
of Health (via Department of Maternal Health and Children and Department of Medical Services
Administration) for consideration./.

PP. THE MINISTER

DEPUTY MINISTER

Tran Van Thuan

APPENDIX 3a

PERIODIC HEALTH CHECKUP RECORD

(Enclosed with the Circular No. 09/2023/TT-BYT dated May 05, 2023 of the Minister of Health)

THE SOCIALIST REPUBLIC OF VIETNAM

Independence - Freedom - Happiness
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PERIODIC HEALTH CHECKUP RECORD

1. Full name (capital letters): …………………………………………………

Photo 2. Gender: Male □ Female □ Age……………………………………........
3. ID card/passport/personal identification number: ………………….......
(4x6 cm)
Date of issue …. /…… /….. Place of issue
……………………………………………………………………………..
…………………………………………………………………………
4. Health insurance card number: …………………………5. Phone number: ………………
6. Current residence: ………………………………………………………………………………

……………………………………………………………………………………………….

7. Occupation: ……………………………………………………………………………

8. Place of work or study: …………………………………………………………………

9. Date of starting to work at current workplace: ………/ ……./……………………

10. Previous occupations (over the last 10 years in reverse chronological order):

a) ……………………………………………………………………………………………

Working duration: From ……/……/……… to……/……/……

b) ……………………………………………………………………………………………

Working duration: From ……/……/……… to……/……/……

11. Family medical history: ……………………………………………………….

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

…………………………………………………………………………………………………

12. Personal medical history:

Disease Year of detection Occupational disease Year of detection

a) a)

b) b)

c) c)

d) d)
 …….date ……..month……..year………..
Employee Periodic health checkup record maker
(Signature and full name) (Signature and full name)

PERIODIC HEALTH CHECKUP

I. MEDICAL HISTORY
(recorded by physicians)

……………………………………………………………………………………………………….

……………………………………………………………………………………………………….

……………………………………………………………………………………………………….

……………………………………………………………………………………………………….

……………………………………………………………………………………………………….

Obstetric and gynecological history (women):

- Menarche (age): □□

- Menstruation: Regular □ Irregular □

Menstrual cycle: □□ days The amount of bleeding (each cycle): □□ days

Dysmenorrhea: Yes □ No □

- Civil status: Unmarried □ Married □

- PARA: □□□□

- Obstetric and gynecological procedures: Yet □ …..(times) Not yet □

- Have you used contraceptive method(s)? Yes □ (What is it/what are they?): …………………. No □

II. PHYSICAL EXAMINATION

Height: ……………cm; Weight: ………………Kg; BMI: ………………….

Pulse: ................…….times/minute; Blood pressure: ..................../..................... mmHg

Physical classification: ………………………………………………………………………………

 III. CLINICAL EXAMINATION

Contents ContentsFull
name and
signature of
physician
1. Internal medicineInternal medicine
a) Circulation:
Classification:
b) Respiratory:
Classification:
c) Digestion:
Classification:
d) Kidney-Urology:
Classification:
dd) Endocrine:
Classification:
e) Muscle- bone-joints:
Classification:
g) Neurological exam:
Classification:
h) Mental health:
Classification:
2. Eyes Eyes
Result of eye examination: Without glasses: Right eye…….. Left eye ………… Result of eye
examination:
With glasses: Right eye ……… Left eye …………… Without glasses:
Right eye……..
Eye diseases (if any):
Left eye
Classification: …………

With glasses:
Right eye ………
Left eye
……………
3. Ear-Nose-ThroatEar-Nose-Throat
Result of hearing test: Result of hearing
 test:
Left
Left ear: Speaking normally: ………..m; whispering:…………..m ear: Speaking
normally:
Right ear: Speaking normally: ………..m; whispering:…………..m ………..m;
Ear-nose-throat diseases (if any): whispering:
…………..m
Classification:
Right
ear: Speaking
normally:
………..m;
whispering:
…………..m
4. Teeth-Jaw-FaceTeeth-Jaw-Face
Result of examination: Maxilla: ………………………………………………. Result of
examination:
Mandible: ………………………………………………. Maxilla:
…………………
Teeth-Jaw-Face diseases (if any):
…………………
Classification: ………….

Mandible:
…………………
…………………
………….
5. Dermatological disease
Examination result: Examination
result:
Classification:
6. Obstetric disease (Details in List of Appendix 3b)Obstetric disease (Details in List of
Appendix 3b)
Examination result:………………………………………………. Examination
result:
…………………
…………………
………….

Classification: ………………………………………………………………………..

Classification:
…………………
…………………
 …………………
………………..
II. SUBCLINICAL EXAMINATION

Hematological / biochemical / X-ray tests and other tests as indicated by physician:

a) Result: …………………………………………………………………………

……………………………………………………………………………………….

……………………………………………………………………………………….

b) Evaluation: ……………………………………………………………………….

……………………………………………………………………………………….

……………………………………………………………………………………….
V. CONCLUSION

1. Health classification 1: ……………………………………………………………………..

2. Diseases (if any) 2: ………………………………………………………………………….

………………………………………………………………………………………………

………………………………………………………………………………………………

………………………………………………………………………………………………

…….date ……..month……..year………..
CONCLUDING PERSON
(Signature, full name and seal)

APPENDIX 3b

LIST OF OBSTETRIC AND GYNECOLOGICAL EXAMINATION IN PERIODIC HEALTH

CHECKUP FOR FEMALE EMPLOYEE
(Enclosed with Circular No. 09/2023/TT-BYT dated May 05, 2023 of the Minister of Health)

No. CONTENTS NOTE

I. Obstetric and gynecological checkupsObstetric and gynecological checkups
 1. Lower abdomen and groin examination.
2 External examination of the vulva.
3. Speculum examination in combination with naked-eye - The examination is only done if it
observation of the cervix. is possible to access the vagina of
the female employee who has given
4. Bimanual vaginal examination (with two hands)
her consent to this examination
after receiving advice from the
medical staff.
5. Bimanual palpation of the rectum (with two hands) - This examination is only done if it
is impossible to access the vagina
or the rectal examination is
required.

- The examination is only done if

the female employee grants her
consent after receiving advice from
the medical staff.
II. Cervical cancer screening - Screening is only performed if it
Screening is performed for early detection of cervical is possible to access the vagina of
lesions by one of the following techniques: the female employee who has given
her consent after receiving advice
1. Visual Inspection with Acetic Acid (VIA test)
from the medical staff.
2. Visual Inspection with Lugol's Iodine (VILI test)
- Screening shall be performed
3. Pap test
according to professional
4. HPV test instructions of the Ministry of
Health.
III Breast cancer screening
Screening is performed for early detection of breast lesions
by one of the following techniques:
1. Clinical breast exam
2. Bilateral breast ultrasound
3 Mammography
IV. Uterine adnexal ultrasound (as indicated by physicians)

1 Health classification according to regulations in Decision No. 1613/BYT-QD or specialized medical

standards for specialized health checkups.
2 Diseases, treatment methods, rehabilitation or referral of specialized checkups for medical
examination and treatment.

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