Ministry of Health issues list of paraclinical indicators for electronic medical records

On April 11, Deputy Minister of Health Nguyen Tri Thuc signed Decision No. 1227/QD-BYT on promulgating the List of common codes for paraclinical techniques and terminology (Phase 1).

This list is issued to implement Decision No. 06/QD-TTg of the Prime Minister : Approving the Project on developing applications of population data, identification and electronic authentication to serve national digital transformation in the period of 2022-2025, with a vision to 2030 (Referred to as Project 06/CP) and implementing the roadmap for standardizing the list of medical tests, diagnostic imaging and functional examinations, aiming to connect test results between medical facilities, as a basis for promoting electronic medical records in medical examination and treatment facilities and standardizing health sector data.

A total of 2,964 indexes were issued this time, including Hematology-Blood Transfusion: 1,022 indexes; Biochemistry: 447 indexes; Microbiology: 174 indexes; Pathology: 81 indexes; Radiology: 1,240 indexes.

According to Dr. Ha Anh Duc, Director of the Department of Medical Examination and Treatment Management, Decision 1227/QD-BYT dated April 11, 2025 on the List of common codes for techniques and paraclinical index terms to unify professional terminology, standardize data, apply information technology in electronic medical records, connect paraclinical results, medical examination and treatment data, and health insurance.

This list of codes is applied uniformly nationwide, including all public and private medical examination and treatment facilities.

The issuance of this decision is important and has great significance because the connection of test data will contribute to reducing paraclinical costs for patients, limiting unnecessary re-testing, saving costs and time for patients in accordance with the Government 's direction.

This list of paraclinical indicators has professional contributions from leading hospitals such as: Ho Chi Minh City University of Medicine and Pharmacy, Bach Mai, Cho Ray, National Institute of Hematology and Blood Transfusion, National Tropical Diseases, Thai Nguyen Central General Hospital...

According to experts, the implementation of electronic medical records brings many benefits to patients, medical facilities, doctors and management agencies.

For patients, electronic medical records help patients avoid having to store all kinds of documents when going to the doctor or receiving treatment. Patients do not have to worry about losing test results. Combined with the implementation of electronic health records, electronic medical records help patients manage their health information continuously and throughout their lives, thereby proactively preventing diseases and proactively taking care of their health.

For doctors and medical staff, electronic medical records help to quickly transfer patient data between departments and hospitals. When patient health information is communicated between levels, it will help diagnose and coordinate treatment better, avoiding duplicate clinical indications (ultrasound, tests, etc.).

Putting electronic medical records into operation also reduces waiting time and cumbersome procedures for patients and their families.

For medical examination and treatment facilities, electronic medical records provide information and clinical data quickly and promptly to other health care service providers. Save costs on maintaining paper medical record archives. Provide data for research.

Electronic medical records also contribute to transparency in medical examination and treatment regarding drug costs, consumables, bed fees, or costs of performing paraclinical tests.

For management, the implementation of electronic medical records along with the implementation of electronic health records helps the industry obtain complete, accurate and timely data on people's health.

Source: https://nhandan.vn/bo-y-te-ban-hanh-danh-muc-chi-so-can-lam-sang-phuc-vu-cho-benh-an-dien-tu-post871799.html