Decision 1613/BYT-QD 1997 Health classification standard for medical examination

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Decision No. 1613/BYT-QD dated August 15, 1997 of the Ministry of Health promulgating the “Health classification standard for pre-recruitment medical examination and periodic medical examination” for employees

Issuing body:	Ministry of Health	Effective date:	Known Please log in to a subscriber account to use this function. Don’t have an account? Register here
Official number:	1613/BYT-QD	Signer:	Le Ngoc Trong
Type:	Decision	Expiry date:	Updating
Issuing date:	15/08/1997	Effect status:	Known Please log in to a subscriber account to use this function. Don’t have an account? Register here
Fields:	Medical - Health

SUMMARY

Health classification standard for periodic medical examination

The Decision No. 1613/BYT-QD promulgating the “Health classification standard for pre-recruitment medical examination and periodic medical examination” for employees is issued on August 15, 1997 by the Ministry of Health.

This standard applies to the health classification for pre-recruitment medical examination, periodic medical examination and medical examination to change jobs for health reason of Vietnamese citizens in order to study in Universities, Secondary technical schools, Vocational schools and work at private and State-owned business and production establishments in the territory of Vietnam.

For jobs and carriers which are heavy, hazardous or dangerous and extremely heavy, hazardous or dangerous, this standard shall be used as the standard for pre-qualification. The official medical examination shall carry out based on the medical examination standard applicable to each job and carrier. Vietnamese citizens aged 15 years or older not suffering to any acute diseases shall be subject to this standard.

This Decision takes effect from the date of its signing.

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Effect status: Known

THE MINISTRY OF HEALTH
______

No. 1613/BYT-QD

THE SOCIALIST REPUBLIC OF VIETNAM
Independence - Freedom - Happiness
__________

Hanoi, August 15, 1997

DECISION

Promulgating the “Health classification standard for pre-recruitment medical examination and periodic medical examination” for employees

_____________

MINISTER OF HEALTH

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

Pursuant to Article 102 of the Labor Code providing for health check upon recruitment and periodic examination;

Pursuant to the research results for formulating the “Health classification standard for pre-recruitment medical examination and periodic medical examination” accepted by the Science and Technology Council at level of Ministry of Health (established under the Minister of Health’s Decision No. 1177/BYT- Decision dated July 04,1996) at the meeting held on July 13,1996;

At the request of the Director of the Department of Therapy, Director of the Science and Training Department, and Director of the Organization and Personnel Department of the Ministry of Health;

DECIDES

Article 1: To promulgate the “Health classification standard for pre-recruitment medical examination and periodic medical examination” for employees (attached herein).

Article 2: To assign the Director of Department of Therapy to provide detailed guidance on the application of the above-mentioned standard.

Article 3: This Decision takes effect from the date of its signing. The previous provisions contrary to the provisions of this Decision cease to be effective.

Article 4: Chief of the Office, Directors of Therapy and functional Departments of the Ministry of Health, Director of provincial-level Departments of Health and the Health sectors shall be responsible for the implementation of this Decision.

FOR THE MINISTER OF HEALTH
THE DEPUTY MINISTER

Associate Professor Ph.D. Le Ngoc Trong

SECTORAL STANDARD

THE SOCIALIST REPUBLIC OF VIETNAM

THE MINISTRY OF HEALTH

HEALTH CLASSIFICATION STANDARD FOR PRE-RECRUITMENT MEDICAL EXAMINATION AND PERIODIC MEDICAL EXAMINATION

Decision No. 1613/BYT-QD

Take effect from August 15, 1997

I – GENERAL REGULATION:

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

2. For jobs and carrers which are heavy, hazardous or dangerous and extremely heavy, hazardous or dangerous, this standard shall be used as the standard for pre-qualification. The official medical examination shall carried out based on the medical examination standard applicable to each job and carrer.

3. Vietnamese citizens aged 15 years or olders not suffering to any acute diseases shall be subject to this standard.

4. The standard specifies 5 statuses of health:

- Status I: Excellent

- Status II: Very good

- Status III: Good

- Status IV: Fair

- Status V: Poor

II- STANDARD FOR CLASSIFICATION OF HEALTH

1. Physical strength:

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

Health status	MALE			FEMALE
Health status	Height (cm)	Weight (kg)	Chest circle (cm)	Height (cm)	Weight (kg)	Chest circle (cm)
1	160 or more	48 or more	80 or more	152 or more	44 or more	75 or more
2	156-159	46-47	77-79	149-151	42-43	73-74
3	152-155	42-45	74-76	145-148	40-41	71-72
4	149-151	39-41	71-73	142-144	37-39	69-70
5	Less than 149	Less than 39	Less than 71	Less than 142	Less than 37	Less than 69

1.2. Employees

Health status	MALE			FEMALE
Health status	Height (cm)	Weight (kg)	Chest circle (cm)	Height (cm)	Weight (kg)	Chest circle (cm)
1	1603 or more	50 or more	82 or more	155 or more	45 or more	76 or more
2	158-162	47-49	79-81	151-154	43-44	74-75
3	154-157	45-46	76-78	147-150	40-42	72-73
4	150-153	41-44	74-75	143-146	38-39	70-71
5	Less than 150	Less than 40	Less than 74	Less than 143	Less than 38	Less than 70

2. Diseases:

No.	Diseases	Classification
	EYES
1	Vision: One eye Total vision of both eyes
	10/10 19-20/10	x
	9-10/10 16-18/10		x
	7 - 9/10 14-15/10			x
	6 - 7/10 11-13/10				x
	Less than 6/10 Less than 11/10					x
2	Pterygium:
	2.1. None	x
	2.2. Pterygium of type I, II, III, classified according to the standards of vision of both eyes.
	2.3. Pterygium of type III, one eye with vision of less than 6/10			x
	2.4. Pterygium was removed, recurs and is sticky			x
3	Corneal scar:
	3.1. No corneal scar:	x
	3.2. Scar is simple, thin, small and outside the central area (lowering 01 type based on standards of vision)
	3.3. Corneal scar with synechia - Total vision of both eyes is from 16/10 or more - Vision of 01 eye is 6/10 or less		x	x	x
4	Trachoma
	4.1. No trachoma	x
	4.2. Uncomplicated trachoma		x
	4.3. Trachoma with entropion complication - No effect on vision (lowering 01 level based on standards of vision) - With effect on vision (lowering 01 level based on standards of vision)
5	Chronic dacryoadenitis or dacryoadenitis repeatedly treated without result
	5.1. None	x
	5.2. Yes			x
6	Strabismus
	6.1. No strabismus	x
	6.2. Strabismus: - No effect on visual function (Classified according to standards of vision and then lowering one level) - With effect on vision			x	x
7	Injury to one eye
	7.1. Another eye with 10/10 vision				x
	7.2. Another eye with vision of less than 10/10					x
8	Myopia
	8.1. None	x
	8.2. With myopia: Based on the vision upon wearing glasses for classification according to standards of vision and then lowering one level.
9	Hyperopia
	9.1. None	x
	9.2. With hyperopia: Based on the vision upon wearing glasses for classification according to standards of vision and then lowering one level.
10	Types of simple or combined astigmatism: Classifying according to standards of vision and then lowering one level.
11	Color blindness
	11.1. No color blindness	x
	11.2. With color blindness			x
12	Eyeground diseases
	Retinitis due to kidney disease, hypertension, retinitis pigmentosa					x
13	Other eye diseases
	13.1. None	x
	13.2. Retinal detachment and optic atrophy					x
	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 vision, then lowered one level
	EAR, NOSE AND THROAT
14	Outer ear:
	14.1. Normal	x
	14.2. Tearing or atrophic inflammation of helix cartilage		x
	14.3. Chronic inflammation of the outer ear tubes or narrow and deformed ear canal.			x
15	Middle ear
	15.1. Normal	x
	15.2. Chronic inflammation of middle ear with pus or mucus or perforated eardrum - Perforation of lower front eardrum and lower rear eardrum - Perforation of upper eardrum and upper rear eardrum			x	x
	15.3. Chronic inflammation of middle ear, completely dry ear (classified by hearing ability at Points 16.1 and 16.2.)
16	Inner ear
	16.1. Measured by whisper (softly speaking)
	- 5cm in one ear and 5cm in the other ear	x
	- 4cm in one ear and 2cm in the other ear		x
	- 3cm in one ear and 1cm in the other ear			x
	- 2cm in one ear and 0.5cm in the other ear				x
	- 1cm in one ear and 0.1cm in the other ear					x
	16.2. Measured by audiometer
	- No decrease in hearing ability or with decrease of less than15 dBA	x
	- Decrease in hearing ability in both ears from 15-35 dBA		x
	- Decrease in hearing ability in both ears from 36-45 dBA			x
	- Decrease in hearing ability in both ears from 46-65 dBA				x
	- Decrease in hearing ability in both ears of more than 65 dBA					x
17	Mastoid bone
	17.1. Normal	x
	17.2. Chronic mastoiditis		x
	17.3. Mastoiditis with surgical treatment
	- Ear getting dry and hearing ability slightly decreased			x
	- Ear still flowing, hearing ability moderately decreased				x
	- Ear continuously flowing pus and hearing ability heavily decreased					x
18	Nose
	18.1. Normal
	18.2. Nasal cavity, nasal pyramid and nasal septum are deviated and deformed.
	- No respiratory disorders
	- Mild respiratory disorders
	- Obvious respiratory disorders
	- 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.		x
	- Clear respiratory dysfunction, with good body condition			x
	- Clear respiratory dysfunction, with poor body condition				x
	18.4. Atrophic rhinitis, nasal hemorrhoids and frequent nosebleed					x
19	Throat
	19.1. Normal	x
	19.2. Simple chronic pharyngitis, good body condition		x
	19.3. Chronic pharyngitis, excessive mucosal thickening, granular pharyngitis, etc., frequent fever, cough, affecting body condition.			x
20	Tonsil:
	20.1. Average tonsil, not affecting function, good body condition	x
	20.2. Slightly large or medium-sized tonsil, occasionally inflamed, not affecting the body condition		x
	20.3. Chronic tonsil inflammation with pus cavity or recurrent infection affecting body condition.			x
	20.4. Tonsil removed with good result		x
21	Larynx
	21.1. Normal	x
	21.2. Chronic laryngitis
	- Not much disturbance to pronunciation, distinguishable voice, good body condition		x
	- Clear pronunciation disorder, voice distinction with difficulty, poor body condition				x
	21.3. Paralysis of laryngeal opening and closing muscle					x
	21.4. Simple hoarseness (due to particle of vocal cords or vocal cord polyp), no paralysis of vocal cord (regression cord)			x
	21.5. Stammering
	- Stammering 4-5 words one when saying every sentence			x
	- Stammering 4-5 words twice when saying every sentence				x
	21.6. Deformation of larynx due to injury sequelae, adhesive inflammation, deformed laryngeal scar, narrow glottis, laryngeal tumour, etc. affecting function					x
	21.7. After surgery, larynx function recovered, good body condition			x
22	Facial sinus
	22.1. Normal	x
	22.2. Highmoritis or inflammation of chronic joint sinus (ethmoid-jaw) not affecting breathing function		x
	22.3. Chronic multiple sinusitis at one side + nasal polyp			x
	22.4. Chronic multiple sinusitis at both sides + nasal polyp at one side				x
	22.5. Chronic multiple sinusitis at both sides + nasal polyp at both sides					x
	22.6. Sinus surgically treated and polyp cut, good stability			x
	TOOTH, JAW AND FACE
23	Decayed teeth
	23.1. No decayed tooth	x
	23.2. Enamel and dentin decay from 1-3 teeth, no pain or filled		x
	23.3. Enamel and dentin decay from 4-5 teeth, no pain or filled			x
	23.4. Enamel and dentin decay from 6 teeth or more				x
24	Tooth loss:
	(See Appendix 3: Loss of chewing ability)
	24.1- Full teeth excluding wisdom teeth	x
	24.2- Loss of 1 or 2 teeth, chewing ability over 90%		x
	24.3- Loss of teeth, chewing ability from 81-90%			x
	24.4- Loss of teeth, chewing ability from 61-80%				x
	24.5- Loss of teeth, chewing ability of less than 61%					x
25	Inflammation around the tooth: (See classification standards of inflammation and pathological gum: Appendix 4)
	25.1- No inflammation	x
	25.2- Inflammation around 4-5 teeth, depth of gum pocket at level 3 or more		x
	25.3- Inflammation around 6-11 teeth, depth of gum pocket at level 3 or more			x
	25.4- Inflammation around 12 teeth or more, depth of gum pocket at level 3 or more				x
	In case the periodontitis is severe, the tooth is very loose and no longer have the chewing effect, if there is an indication for extraction, the tooth is considered as lost and pro-rated loss of chewing ability.
26	Dental endodontitis, marrow necrosis and apical inflammation
	26.1- None	x
	26.2- 1-2 teeth with endodontitis and apical inflammation successfully cured		x
	26.3- 1-2 teeth with endodontitis and apical inflammation without being cured (marrow canal sealing)			x
27	Wisdom tooth:
	27.1- Normal	x
	27.2- With complication that has been well treated		x
	27.3- Wisdom tooth under complication			x
28	Jowl:
	28.1- Normal	x
	28.2- Fracture associated, balanced occlusion, good chewing ability			x
	28.3- Occlusion with mild deviation, still able to chew				x
	28.4- Occlusion with more deviation, affecting chewing ability					x
29	Gingivitis:
	29.1- No inflammation	x
	29.2- Gingivitis of no more than ½ number of teeth		x
	29.3- Gingivitis of more than ½ number of teeth			x
30	Parotitis:
	30.1- No inflammation	x
	30.2- Inflammation cured, no recurrence for 1 year or more		x
	30.3- Chronic parotitis stabilized			x
31	Cleft lip and cleft palate:
	31.1- None	x
	31.2- Single cleft lip without cleft palate		x
	31.3- Cleft lip repaired with little effect on pronunciation and aesthetics		x
	31.4- Uvula split, small cleft repaired on soft palate, no lisp			x
	31.5- Cleft palate repaired but with effect on pronunciation				x
	31.6- Cleft lip together with cleft palate					x
	PSYCHOLOGY - NEUROLOGY
32	Schizophrenia of various forms:
	32.1- No schizophrenia	x
	32.2- Schizophrenia of various types					x
33	Symptomatic and organic psychosis:
	33.1- None	x
	33.2- Psychosis due to brain injury, after bacterial contamination or mental illness, or as sequelae after treatment					x
	- Mental operations recovered but mild cardiovascular disorders and autonomic nervous system disorders				x
	33.3- Depresive psychosis and hypochondriac syndrome:
	- Acute, sub-acute and chronic					x
	- Lasting and stable compensation, mental operation well recovered				x
34	Psychopathy of all types and levels					x
35	Epilepsy:
	35.1- No epilepsy	x
	35.2- Rare and infrequent epileptic seizures (cured but still less than 03 seizures/year)				x
	35.3- Minor or major epileptic seizures with change of mood, behaviour and personality					x
36	Neurasthenia syndrome of organic mental illness:
	36.1- None	x
	36.2- Headache, mild insomnia		x
	36.3- Memory impairment, reduced work capacity, poor body condition				x
37	Acrohyperhidrosis:
	37.1- None	x
	37.2- Mild		x
	37.3- Moderate and severe			x
38	Tendon reflexes:
	38.1- Normal	x
	38.2- Increase or no increase on both sides, there is no sense movement disorders (classified by cause)		x
	38.3- Decrease equally on both sides, there is sense movement disorders (classified by cause)			x
39	Systematic dizziness, vestibular and cerebellar disorders:
	39.1- None	x
	39.2- Mild (occurring 1-2 times/year)		x
	39.3- Moderate and severe, stably treated over 01 year			x
40	Bell’s palsy:
	40.1 – No palsy	x
	40.2 - Palsy:
	With sequelae, mouth slightly distorted when smiling, not affecting eye closing and pronunciation.			x
	- There are still sequelae of mouth distortion effecting eye closing and pronunciation.				x
41	Nerve paralysis:
	41.1 - No paralysis	x
	41.2 - Paralysis of radial nerve, cutaneous nerve, sciatic nerve and lateral popliteal nerve					x
	41.3 - Other peripheral nerve paralysis
	- Loss or decrease in working capacity of partial limb				x
	- Loss of working capacity of working of entire limb					x
42	Central nervous system sequelae
	41.1 None	x
	42.2 - Paralysis of cranial nerve or spinal cord restricting the ability of manual labor.					x
43	Radicular pain and nerve plexus:
	43.1 - No pain	x
	43.2 - With pain clearly effecting working capacity				x
44	Neuromuscular disease
	44.1 - None	x
	44.2 - Mild atrophy with little effect on movement.		x	x
	44.3 - Severe atrophy with remarkable effect on working capacity				x
	44.4 - Myasthenia gravis					x
	CIRCULATION
45	Arterial blood pressure:
	45.1 – Age less than 30 years
	Maximum Minimum
	- 110 - 125 mmHg 65 - 85 mmHg	x
	- 126 - 135 mmHg 60 - less than 90 mmHg		x
	- 136 - 140 mmHg 90 - 95 mmHg			x
	- More than 140 mmHg More than 95 mmHg				x
	- Less than 100 mmHg Less than 60 mmHg				x
	45.2 – Age from 30 - 50 years
	Maximum Minimum
	- Less than 140 mmHg Less than 90 mmHg	x
	- 140 - 145 mmHg 90 - 95 mmHg			x
	- Trên 150 mmHg 96 - 100 mmHg				x
46	Pulse:
	46.1 - Pulse rate: (times / min)
	- 60 -75 times/minute	x
	- 76 -85 times/minute		x
	- 86 -95 times/minute or from 55 - 60 times/minute			x
	- Over 95 or from 55 times/minute				x
	46.2 - Endarteritis obliterans and thrombophlebitis
	- No obliterans	x
	- Obliterans: + No necrosis in the extremities				x
	+ Necrosis of the extremities with surgical intervention.					x
47	Varicose vein:
	47.1 - Varicose vein in the hollow of knee and lower leg
	- None	x
	- Not forming tuft		x
	- Forming tuft, pain and tension occurrence upon walking, running and hopping				x
	- Treated with surgery, good result				x
	47.2 - Varicose veins of the spermatic cord
	- None	x
	- Mild (large and straight vein not intertwined upon touch)		x
	- Severe (intertwined into tuft)			x
48	Heart rate:
	48.1 - No heart rate disorders	x
	48.2 – Extrasystole:
	- Infrequent, less than 6 beats/minute:
	+ Loss or decrease after strenuous motion		x
	+ Failure of loss or decrease after strenuous motion			x
	- Rapid, over 7-12 beats/minute, increase after strenuous motion				x
	- Full arrhythmias:
	+ Each short crisis				x
	+ Continuously					x
	48.3 - Full conduction disorders in heart muscle				x
49	Cardiopathy:
	49.1 - No cardiopathy	x
	49.2 - There are breath sounds of systolic function		x
	49.3 - Single strong heartbeat			x
	49.4 - Physiologic splitting of heart sounds		x
	49.5 - Congenital cardiopathy:
	- No cyanosis, no heart failure.				x
	- Causing cyanosis with heart failure.					x
	- Dextrocardia			x
	49.6 - Acquired cardiopathy:
	- Heart valve disease (excluding mitral stenosis), no heart failure.				x
	- Myocardial fibrosis, mitral stenosis and other cardiopathys:
	+ No heart failure				x
	+ With heart failure					x
	- Treated with surgery on the heart and heart valves.					x
	- Organic diseases in myocardium, pericardium, aorta and coronary arteries					x
50	Blood - Lymph:
	50.1 - Normal (According to the physiological constants of Vietnamese people)	x
	50.2 - Diseases of the blood-forming organs.				x	x
	50.3 - Consequence of blood on radiation disease				x	x
	50.4 - Filariasis				x
	50.5 - Regularly severe anemia due to causes.			x	x
	50.6 - Anemia due to congenital causes (diseases of erythrocytes, leukocytes, clotting disorders)				x	x
	RESPIRATION
51	Pleura:
	51.1- Normal	x
	51.2- Pleuritis, pleural effusion and empyema successfully cured:
	- No adhesion or mild adhesion			x
	- Mild adhesion in all side of lung				x
	51.3- Pneumothorax				x
52	Bronchus:
	52.1-Normal	x
	52.2- Mild bronchiectasis, chronic obstructive bronchitis)			x
	52.3- Non-obstructive chronic bronchitis		x
	52.4- Bronchial asthma: * Mild and moderate			x
	* Severe				x
	52.5- Bronchus cancer					x
53	Lung:
	53.1- Normal	x
	53.2- Emphysema, atelectasis, cutting of pulmonary lobe					x
	53.3- Diseases of silicosis				x	x
	- Treated and stabilized over 3 years			x
	- Tuberculofibrosis				x
	53.5- Lung cancer					x
	DIGESTION
54	Esophagus:
	54.1- Normal	x
	54.2- Chronic inflammation of esophagus, esophageal dilation and esophageal ulcer			x
	54.3- Esophageal stenosis				x
	54.4- Esophageal varices				x
	54.5- Esophageal cancer					x
55	Stomach and duodenum:
	55.1- Normal	x
	55.2- Chronic gastritis and duodenitis			x
	55.3- Peptic ulcer:
	- No complication				x
	- With complications: bleeding, pyloric stenosis					x
	55.4- Gastroptosis : * Level I			x
	* Level II, III				x
	55.5- Duodenal ulcer:
	- No complication			x
	- With complication				x
	55.6- Gastroduodenal ulcer treated with surgery
	- Good result			x
	- No good result				x	x
	55.7- Gastric ulcer					x
56	Colon, rectum
	56.1- Normal	x
	56.2- Chronic rectal dysfunction
	- Mild		x
	- Moderate			x
	- Severe				x
	56.3- Hemorrhagic colitis
	- Mild			x
	- Moderate				x
	- Severe					x
	56.4- The benign diseases of the colon with surgical intervention			x
	56.5- Colorectal polyp:
	- Small peduncle successfully cured			x
	- Bleeding				x
	56.6- Colon and rectum cancer					x
57	Anal and rectum:
	57.1- Normal	x
	57.2- Anal fistula:
	- Simple, treated well			x
	- Complex, treated several times				x
	57.3- Rectocele				x
	57.4 - Anal fissure
	- Treated, good result			x
	- Infectious, treated several times				x
	57.5- Hemorrhoid:
	- None	x
	- External hemorrhoid: + Level I		x
	+ Level II			x
	+ Level III				x
	- Internal or combined hemorrhoid with small tuft (less than 0.5cm) without or with few complications			x
	- Combination of external and internal hemorrhoid with few complications				x
	- Hemorrhoid ligated recurring with				x
58	Small intestine:
	58.1- Normal	x
	58.2- Small intestine perforated due to causes to be treated with surgery:
	- Good result, no effect on digestion			x
	- Affecting digestion and living activities with partial obstructive syndrome				x
	58.3- Mechanical bowel obstruction treated with surgery
	- Good result			x
	- Remaining digestive disorders				x
	- Inguinal hernia + No surgical treatment				x
	+ Treated with surgery, good result		x
	+ Treated with surgery, no good result				x
	58.4- Intestinal parasites
	- No cause of functional changes	x
	- Cause of functional changes			x	x
59	Appendix:
	59.1- Normal or treated with surgery since a child, good result	x
	59.2- Surgically treated, good result (adult)		x
	59.3- Sequelae and complications after surgery				x
60	Liver:
	60.1- Normal	x
	60.2- Hepatitis successfully cured for over 12 months, normal health condition		x
	60.3- Chronic persistent hepatitis and chronic active hepatitis					x
	60.4- Unexplained cirrhosis and hepatomegaly					x
	60.5- Liver contusion treated with good result			x
	60.6- Liver abscess with surgical intervention, currently stabilized			x
	60.7- Liver abscess ruptured, causing complications, but successfully cured					x
	60.8- Liver cancer					x
61	Bile and pancreas:
	61.1- Normal	x
	61.2- Chronic inflammation of bile cyst and bile duct			x
	61.3- Gallstones and cholecystectomy			x
	61.4- Gallstones of common bile duct					x
	61.5- Chronic pancreatitis					x
	61.6- Acute pancreatitis successfully cured		x
	61.7- Pancreatitis with bleeding surgically treated				x
	61.8- Pancreatic cancer					x
62	Spleen:
	62.1- Normal	x
	62.2- Chronic splenomegaly with sclerosis				x
	62.3- Splenectomy with good results			x
	62.4- Spleen contusion well surgically treated			x
	UROLOGY - GENITALIA
63	Urology:
	63.1- Normal	x
	63.2- 01 kidney cut				x
	63.3- Kidney tumour treated with surgery without complications			x
	63.4- Chronic kidney disease: glomerulonephritis due to the causes, kidney failure, tumors, etc.
	- No kidney failure				x
	- With kidney failure					x
	63.5- Congenital kidney disease (ectopia, polycyst and deformity)
	- No kidney failure			x
	- With kidney failure					x
	63.6- Kidney stone * Surgically treated, good results			x
	* No surgical treatment				x
	63.7- Ureterolith				x
	63.8- Cystolith:
	- Surgically treated, good result			x
	- Multiple surgical treatment				x
64	Male genitalia:
	64.1- Normal	x
	64.2- Narrow foreskin:				x
	- No surgical treatment				x
	- Surgically treated, good result	x
	- Urinary effect after surgery				x
	64.3- Missing testicle
	- Missing 1 testicle or 1 undescended testicle		x
	- Missing 2 testicles or 2 undescended testicles			x
	64.4- Hydrocele testis
	- Good treatment		x
	- No treatment				x
	64.5- Penile amputation			x
	64.6- Penile cancer					x
65	Female genitalia:
	65.1- Normal, regular menstruation	x
	65.2- Menstrual disorders (irregular menstruation, period lasting 6-7 days)			x
	65.3- Menorrhagia, polymenorrhea and hypermenorrhea				x
	65.4- Menoschesis and amenorrhea (classified depending on the causes)
	65.5- Congenital abnormal external genitalia		x	x
	65.6- Ovarian cyst, uterine fibroid:
	- No surgery				x
	- Surgically treated, good result			x
	65.7- Inflammation of appendage: - Surgically treated, good result			x
	- No surgery				x
	65.8- Caesarean section:
	- 1^st section without complication		x
	- 2^nd section without complication			x
	- 3^rd section without complication				x
	65.9- Vesicovafinal fistul:
	- No surgery				x
	- Surgically treated, good result			x
	65.10- Cancer of the female genital					x
	KINETIC SYSTEM
66	Joint:
	66.1- Normal	x
	66.2- Dislocation:
	- Application of manipulation and adjustment without sequelae		x
	- Dislocation of large joint without manipulation and adjustment resulting in physical defect effecting the working and studying				x
	- Dislocation of large joint surgically treated:
	+ Stable after one year, normal working and living activities			x
	+ Sequelae: Restricted movement, deformity, or stiffness of joint					x
	+ Pathological dislocation of large joints					x
	66.3- Artificial joint:
	- Together with the loss of large section of bone and short section of limb over 5 cm;					x
	- No short limb				x
	66.4- Stiffness and adhesion of joints:
	- Joints of shoulder, elbow, knee, groin and spine					x
	- Joints of wrist and ankle				x
	66.5- Congenital malformation (large joints, loss of section of bone caput)					x
67	Bone:
	67.1- No bone fracture	x
	67.2- Fracture of large bone:
	- Good healing, straight axis and stability after one year, unlimited motion			x
	- Bone healing, malunion, axis deviation effecting motion and degenerative complications				x
	67.3- Rib fracture:
	- Fracture of 1 rib, good union		x
	- Fracture of 2-3 ribs, good union			x
	- Fracture of more than 3 ribs, good union				x
	67.4- Humpback and hyperextension:
	- Due to innateness			x
	- Due to suffering				x
	67.5- Spinal stiffness and adhesion due to causes effecting motion and working
	- Mild			x
	- Moderate				x
	- Severe					x
68	Length of limbs:
	68.1- No difference of length of limbs	x
	68.2- With difference of length of limbs:
	- From 1-2 cm			x
	- From 3-4 cm				x
	- From more than 4 cm					x
69	O-shaped or x-shaped bow-legs
	69.1- Normal	x
	69.2- Bow-legs:
	- No effect on walking, running and hopping		x
	- With effect on walking, running and hopping			x
70	Flatfeet:
	70.1- No flatfeet	x
	70.1- Flatfeet
	- Level I	x
	- Level II		x
	- Level III			x
71	Heloma, corn and calluses and pitted keratolysis
	71.1- None	x
	71.2- Heloma:
	- Keratodema but still soft upon manipulation, no effect on walking		x
	- Keratoderma causing bulging and hardness with effect on the walking			x
	71.3- Corn and calluses
	- Diameter of less than 1 cm but less than 2 corns, no effect on the walking		x
	- Diameter of less than 1 cm but less than 3 corns, no effect on the walking			x
	- Diameter of over 1cm with more than 3 corns, with effect on the walking.				x
	71.4- Porokeratose
	- Diameter of depression point of less than 2cm with 1-2 points in 1cm², no effect on walking		x
	- Diameter of depression point of less than 2cm with over 2 points in 1cm², no effect on walking			x
	- Diameter of depression point of more than 2cm with 2 points in 1cm², with effect on walking				x
	- Fracture of more than 3 ribs, good union				x
	67.4- Humpback and hyperextension:
	- Due to innateness			x
	- Due to suffering				x
	67.5- Spinal stiffness and adhesion due to causes effecting motion and working
	- Mild			x
	- Moderate				x
	- Severe					x
68	Length of limbs
	68.1- No difference of length of limbs	x
	68.2- With difference of length of limbs:
	- From 1-2 cm			x
	- From 3-4 cm				x
	- From more than 4 cm					x
69	O-shaped or x-shaped bow-legs:
	69.1- Normal	x
	69.2- Bow-legs:
	- No effect on walking, running and hopping		x
	- With effect on walking, running and hopping			x
70	Flatfeet:
	70.1- No flatfeet	x
	70.1- Flatfeet
	- Level I	x
	- Level II		x
	- Level III			x
71	Heloma, corn and calluses and pitted keratolysis
	71.1- None	x
	71.2- Durillon:
	- Keratodema but still soft upon manipulation, no effect on walking		x
	- Keratoderma causing bulging and hardness with effect on the walking			x
	71.3- Corp-plantaire
	- Diameter of less than 1 cm but less than 2 corns, no effect on the walking		x
	- Diameter of less than 1 cm but less than 3 corns, no effect on the walking			x
	- Diameter of over 1 cm with more than 3 corns, with effect on the walking.				x
	71.4- Porokeratose
	- Diameter of depression point of less than 2cm with 1-2 points in 1cm², no effect on walking		x
	- Diameter of depression point of less than 2cm with over 2 points in 1cm², no effect on walking			x
	- Diameter of depression point of more than 2cm with 2 points in 1cm², with effect on walking				x
72	Loss of fingers and toes:
	72.1- No finger and toe	x
	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.			x
	- Other fingers or toes of hand and foot		x
	72.3- Loss of 1 finger or toe
	- Thumb or great toe of hand or foot				x
	- Index finger of dominant hand			x
	- Other fingers or toes of hand or foot		x
	72.4- Loss of 2 fingers or toes particularly no loss of thumb, index finger of dominant hand, no loss of big toe.				x
	72.5- Loss of 3 fingers or more particularly no loss of thumb and and index finger				x
73	Adhesion between fingers and toes:
	73.1- No adhesion between fingers and toes:	x
	73.2- With adhesion between fingers and toes:				x
	- Not surgically treated:
	- Surgically treated:
	+ Little effect on motion of hand and foot		x
	+ Much effect on motion of hand and foot			x
74	Extra finger or toe:
	74.1- No extra finger or toe	x
	74.2- Extra finger or toe not amputated with no effect on hand or foot or amputated with effect on hand or foot.			x
	Contraction of fingers or toes:
	75.1- No contraction of fingers or toes	x
	75.2- With contraction:
75	- From 1-2 fingers or toes affecting living activities and working			x
	- From 3-4 fingers or toes affecting living activities and working				x
	- From 5 fingers or toes affecting living activities and working					x
76	Deviation and distortion of big toe:
	76.1- No deviation	x
	76.2- Deviation and distortion:
	- No effect on footwear, carrying, running and hopping		x
	- With effect on footwear, carrying, running and hopping			x
77	Tuberculosis of bone:
	77.1- None	x
	77.2- Tuberculosis of bone successfully cured and stabilized				x
78	Bone and joint cancer					x
	DERMATOLOGY – VENEREOLOGY
79	Cutaneous fungus:
	(Rsingworm, fungal groin)
	79.1- None	x
	79.2- Simple form without complications of infectious skin inflammation, area no larger than the one of palm of object		x
	79.3- With infectious complications, area larger than the one of palm of object			x
80	Mycosis interdigitalis:
	80.1- None	x
	80.2- White powder at 1-2 finger webs		x
	80.3- With onychomycosis and cutaneous fungus			x
81	Chromophytosis:
	81.1- None	x
	81.2- Simple form not exceeding 1/3 area of body		x
	81.3- Form of diffusion			x
82	Scabies:
	82.1- None	x
	82.2- Simple form without complication		x
	82.3- Form of dissemination:
	- With infectious complications			x
	- With complicated pyelonephritis				x
83	Eczéma:
	83.1- None	x
	83.2- Chronic		x
	83.3- Acute superinfection			x
84	Durhing, Pemphigus:
	84.1- Durhing
	- None	x
	- Mild form circumscribed at one spot			x
	- Form of dissemination				x
	84.2 - Pemphigus:
	- None	x
	- Form of oily skin and leaf-like scale				x
	- Vulgaris and vegetans form					x
85	Lupus erythematosus and Psoriasis
	85.1- Lupus erythematosus:
	-None	x
	- Classic lupus erythematosus			x
	- Systemic lupus erythematosus					x
	85.2- Psoriasis:
	- None	x
	- Circumscribed normal form			x
	- Form of diffusion, erythroderma				x
	- Form of joint					x
86	Pompholyx and nervous dermatitis
	86.1- None	x
	86.2- With pompholyx and nervous dermatitis			x
87	Urethritis venerea:
	87.1- None	x
	87.2- Acute urethritis venerea successfully cured		x
	87.3- Persistent chronic urethritis venereal			x
88	Syphilis:
	88.1- None	x
	88.2- Syphilis I successfully cured		x
	88.3- Syphilis I clinically successfully cured and tested		x
	88.4- Non-cured syphilis I and II not classified
	88.5- Neurosyphilis and cardiovascular syphilis					x
89	HIV/AIDS:
	89.1- None	x
	89.2- Positive HIV				x
	89.3- AIDS					x
90	Leprosy:
	90.1- None	x
	90.2- With leprosy
	- No disablement			x
	- Disablement of level I				x
	- Disablement of level II					x
91	Chancroid:
	91.1- None	x
	91.2- With chancroid
	- Unsuccessfully cured			x
	- Successfully cured		x
92	Condyloma:
	92.1- None	x
	92.2- With condyloma:
	- Unsuccessfully treated				x
	- Successfully treated		x
93	Nicolas-Favre disease:
	93.1- None	x
	93.2- With Nicolas-Favre disease:
	- Unsuccessfully treated				x
	- Successfully treated		x
94	Onychia and paronychia:
	94.1- None	x
	94.2- With onychia and paronychia:
	- Unsuccessfully treated			x
	- Successfully treated		x
	ENDOCRINOLOGY - METABOLISM
95	Thyroid disease:
	95.1- None	x
	95.2- Small benign tumor		x
	95.3- Large benign tumor affecting respiration				x
	95.4- Basedow: - No cardiac complications				x
	- With cardiac complications					x
	95.5- Cancer					x
96	Pituitary disease:
	96.1- None	x
	96.2- Hypopituitarism or hyperpituitarism					x
97	Diabetes:
	97.1- None	x
	97.2- With diabetes:
	- No complication:
	+ Type I (Insuline dependent)					x
	+ Type II (Non-insulin-dependent)			x
	- Complications of eye, kidney, block of blood vessel				x	x
98	Diabetes insipidus:
	98.1- None	x
	98.2- With diabetes insipidus: - Mild		x
	- Moderate			x
	- Severe					x
99	Adrenocortical hyperfunction:
	99.1- None	x
	99.2- Adrenocortical hyperfunction without surgical treatment					x
	99.3- Adrenocortical hyperfunction with successful surgical treatment			x	x
100	Obesity disease:
	100.1- None	x
	100.2- With obesity disease (See Appendix 6)
	- BMI Body Mass Index (BMI) = 25		x
	- BMI from 26-27			x
	- BMI from 28 or greater				x
	TUMOUR OF VARIOUS TYPES
101	Benigh tumour:
	101.1- None	x
	101.2- Tumour not affecting the working and studying		x
	101.3- Tumour obstructing movement that surgically treated with good result		x
102	Pernicious tumour:
	102.1- None	x
	102.2- With pernicious tumour					x

III- CLASSIFICATION

1. General principles:

1.1. Firstly, classifying by organ, organ system according to Section II (standard for classification of health)

1.2. Then classifying health by subject (Status I, II, III, V) on the basis of the classification of organ and organ system.

2. Classification of physical health and organ and organ system: (Appendix No. 2)

3. Health classification

3.1. Classification indexes:

3.1.1. General physical strength abbreviation TLC

3.1.2. Eye abbreviation M

3.1.3. Ear, nose, throat abbreviation TMH

3.1.4. Tooth, jaw, face abbreviation RHM

3.1.5. Psychology - neurology abbreviation TT-TK

3.1.6. Circulation abbreviation TH

3.1.7. Respiration abbreviation HH

3.1.8. Digestion abbreviation T.hoa

3.1.9. Urology - genitalia abbreviation TN-SD

3.1.10. Kinetic system abbreviation HVD

3.1.11. Dermatology - venereology abbreviation ND-DL

3.1.12. Endocrinology - metabolism abbreviation NT-CH

3.1.13. Tumour of various types abbreviation U

3.2. After examination, doctors shall classify these indexes from Status I –V (See Appendix 2).

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

Status I: All 13 indexes of Status I

Status II: Only 01 lowest index of Status II, classify Status II

Status III: Only 01 lowest index of Status III, classify Status III

Status IV: Only 01 lowest index of Status IV, classify Status IV

Status V: Only 01 lowest index of Status V, classify Status V

IV- EXAMINATION FOR ADMISSION TO SCHOOLS, OCCCUPATIONS AND JOBS

1. Examination for admission to universities, secondary technical schools and vocational schools

Vietnamese citizens satisfying health requirements of disciplines, occupations and jobs as specified by the Ministry of Health shall be subject of admission.

- For occupations and jobs of directly operating means of transportation and mechanical construction of road, railway, waterway, seaway, airway, occupations and jobs that are heavy, hazardous or dangerous and extremely heavy, hazardous or dangerous, learners must meet health requirements from Status II or higher (pre-qualification) and be examined in accordance with particular health standards of such occupations and jobs defined by Ministry of Health.

- Vietnamese citizens with disabilities and Status IV and V are also subject to be examined for admission to vocational schools but the examination and recruitment board shall, based on their disability and disease, determine schools, occupations and jobs for them.

2- Examination for recruitment, labor contracts:

2.1- Health standard is one of the conditions for recruiting and signing labor contracts. When recruiting and implementing contracts, the compliance with the health standard of each occupation or job specified by the Ministry of Health is required;

For occupations and jobs of directly operating means of transportation and mechanical construction of road, railway, waterway, seaway, airway, occupations and jobs that are heavy, hazardous or dangerous and extremely heavy, hazardous or dangerous, Status I or Status II is required.

For mainly physical labor, Status III or higher is required.

2.2- People with disabilities and persons of Status IV and V are also subject to examination for recruitment and implementation of labor contracts, but the examination and recruitment board shall decide occupations and jobs for recruitment and implementation of labor contracts based on their disability and disease.

V- APPENDICES

Appendix 1- NOTES IN CLINICAL EXAMINATION

1. Rounded figures:

When the measurement of indicator of physical strength is from 0.5 or more, it will be rounded up to one unit and rounded down to the ten digit if being less than 0.5.

Example: Height: 165.50cm 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:

One of the two following methods may be used for calculation:

- Measure around the chest when breathing in and breathing out strenuously, then add up them and divide the result by 2.

- Divide the person’s vertical height by 2.

3. Vision:

- If the vision of one eye is higher than 10/10, still only write 10/10.

Example: The vision of right eye is 11/10, the vision of left eye is 6/10, the total vision of both eyes is 16/10.

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

4. Pterygium (indicator 2):

- Pterygium type I: Pterygium budding at the edge of the cornea.

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

- Pterygium type III: Pterygium reaching the edge of the pupil.

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

5. Corneal scar (indicator 3):

- Thin corneal scar 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.

- Test each ear (ear not to be tested must be sealed by pressing finger on the ear flap by the testee).

- Voice emitted perpendicularly to the tested ear.

- The testee’s eyes must be covered 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 (Radiography by Blondeau and Hirtz projections).

8. Tooth loss (indicator 24):

- Loss of one tooth is regarded as loss of facing tooth. The assessment of chewing ability shall comply with Appendix No. 3.

- Tooth becoming loose to the extent that the treatment is not effective and extracting is required or losing its 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. Acrohyperhidrosis (indicator 37):

- Mild: upon being touched, hands are just slightly warm with spray-like wetess of sweat, not long streak upon looking at the life lines. After wiping hand dry, sweat reappears after 10 minutes.

- Mild: More severe than the mild status and even seeing sweaty feet.

- Severe: Hands are always sweaty, feeling cold when touching finger tip, sheen of sweat in the life line rolling into streak and drips both in the summer and winter. 5-6 minutes after wiping sweat, sweat secretes as previously. This status is often accompanied by sweating all over the body, especially when the patients are affected by emotion.

11. Neuromuscular disease (indicator 44):

- Atrophy of muscle at limb root, patients that are squatting stand up with difficulty or cannot stand up.

- Myasthenia gravis usually has sign of drooping eyelids, eyelids can open in the morning but clearly droop in the evening. Initially, the other muscles can move relatively well, 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 for 10 to 15 minutes, then re-measure at least 3 times at different times. It is required to control that person in 2-3 hours before re-measurement.

13. Pulse (indicator 46):

- Take pulse for 2 minutes and then divide the result by 2.

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

- Slow pulse: Note that heart of athletes, sportman, professional players 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, red blood cells of less than 3 million, hemoglobin of less than 10g/100ml.

15. Bronchial asthma (indicator 52.4):

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

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

- Severe: The person have suffered for 10 to 15 years, asthma attacks occur both day and night with emphysema, chronic cor pulmonale, chronic bronchitis, frequently hospitalized.

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

- Mild: the person is infected for 1-2 short times each year, with little and mild pain, mild bowel dysfunction, not significantly affecting the person’s daily life and health.

- Moderate: the person is infected for 3-4 short times each year with significant pain intensity, prolonged gastrointestinal disorder, affecting the person’s daily life and health.

- Severe: the person is infected for more than 04 times each year, or the pain is prolonged by months, significant pain intensity, affecting the person’s health, daily life and spirit.

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

(See Appendix 5)

18. Cutaneous fungus (indicator m79.2):

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, amputation of phalanxes and fingers, etc.

20. Obesity disease (indicator 10):

(See Appendix 6)

Appendix 2: CLASSIFICATION OF PHYSICAL STRENGTH, ORGANS AND SYSTEM

Status Organ, system	Status I	Status II	Status III	Status IV	Status V
Physical strength	All 03 indicators satisfy Status I or only chest circle satisfies Status II	All 03 indicators satisfy Status I or Status II, or only chest circle satisfies Status III	All 03 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Eye	All 13 indicators satisfy Status I or only indicator 3.2 satisfies Status II	All 13 indicators satisfy Status I or Status II or higher	All 13 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Ear - Nose -Throat	All 09 indicators satisfy Status I or only indicator 19.2 and 20.2 satisfy Status II	All 09 indicators satisfy Status I or Status II, or only indicator 20.3 satisfies Status III	All 09 indicators satisfy Status 3 or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Tooth-Jaw-Face	All 09 indicators satisfy Status I or only indicator 24.2 and 27.2 satisfy Status II	All 09 indicators satisfy Status I or Status II, or only indicator 23.3 and 29.3 satisfy Status III	All 09 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Psychology - Neurology	All 13 indicators satisfy Status I or only indicator 35.2, 37.2 and 38.2 satisfy Status II	All 13 indicators satisfy Status II or higher	All 13 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Circulation	All 06 indicators satisfy Status I or only indicator 45.1 satisfies Status II	All 06 indicators satisfy Status I or Status II, or only indicator 45.1 satisfies Status III	All 06 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Respiration	All 03 indicators satisfy Status I	All 03 indicators satisfy Status I or Status II	All 03 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Digestion	All 09 indicators satisfy Status I or only indicator 58.3 and 59.2 satisfy Status II	All 09 indicators satisfy Status I or Status II	All 09 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Urology - Genitalia	All 03 indicators satisfy Status I	All 03 indicators satisfy Status I or Status II	All 03 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Kinetic system	All 13 indicators satisfy Status I or only indicator 69.2 and 71.2 satisfy Status II	All 13 indicators satisfy Status I or Status II, or only indicator 67.2 and 71.4 satisfy Status III	All 13 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Dermatology - Venereology	All 16 indicators satisfy Status I or only indicator 82.2 satisfies Status II	All 16 indicators satisfy Status I or Status II	All 16 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Endocrinology - metabolism	All 06 indicators satisfy Status I	All 06 indicators satisfy Status I or Status II	All 06 indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V
Tumour of various Statuss	All 02 indicators satisfy Status I	All 02 indicators satisfy Status I or Status II	All 02indicators satisfy Status III or higher	01 indicator satisfies Status IV	01 indicator satisfies Status V

Appendix 3: CLASSIFICATION OF LOSS OF CHEWING ABILITY

Upper jaw	Chewing ability %	2	5	5	3	3	4	1	2	2	1	4	3	3	5	5	2
Upper jaw	Tooth No.	8	7	6	5	4	3	2	1	1	2	3	4	5	6	7	8
Lower jaw	Tooth No.	8	7	6	5	4	3	2	1	1	2	3	4	5	6	7	8
Lower jaw	Chewing ability %	2	5	5	3	3	4	2	1	1	2	4	3	3	5	5	2

Appendix 4: CLASSIFICATION OF PATHOLOGICAL GUM AND INFLAMMATION AROUND THE TOOTH

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	Joint name	Function	Normal
Shoulders	- Moving forward - Horizontally moving - Moving backward - Rotating	185^o 185^o 40^o 360^o	Groin	Bending Stretching Turning outward Turning inward Closing Spreading	125^o 40^o 40^o 35^o 35^o 90^o
Elbow		135^o	Knee	Bending	125^o
Wrist	- Bending - Turning upward - Closing - Spreading	62⁰ 50⁰ 40⁰ 30⁰	Ankle	Bending Stretching Turning outward Turning inward	45^o 35^o 45^o 30^o

Appendix 6: Body Mass Index (BMI) of the World Health Organization (WHO)

BMI =	Body weight (kg)
	(Vertical height (m))²

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Decision 1613/BYT-QD 1997 Health classification standard for medical examination

ATTRIBUTE

SUMMARY

14.2. Tearing or atrophic inflammation of helix cartilage

Mastoid bone

Bronchus:

55.2- Chronic gastritis and duodenitis

55.4- Gastroptosis : * Level I

57.3- Rectocele

65.9- Vesicovafinal fistul:

Joint:

Cutaneous fungus:

Condyloma:

Onychia and paronychia:

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