In Circular 13/2025/TT-BYT recently issued on guidelines for implementing electronic medical records, the Ministry of Health has provided specific guidance on the principles of management and implementation of electronic medical records such as Electronic medical records are medical records specified in Clause 17, Article 2 of the Law on Medical Examination and Treatment 2023, which are established, updated, displayed, signed, stored, managed, used and exploited by electronic means.
Circular 13 takes effect from July 21, 2025.
The Ministry of Health requires medical examination and treatment facilities licensed to operate as hospitals to implement electronic medical records no later than September 30, 2025.
The Ministry of Health said that a medical record is a collection of data, including personal information, medical examination results, paraclinical results, functional test results, diagnosis, treatment, care and other relevant information during the patient's treatment process at the medical examination and treatment facility.
The establishment and updating of electronic medical records of patients at medical examination and treatment facilities must ensure full information as prescribed in Chapter X of Circular 32/2023/TT-BYT of the Ministry of Health detailing a number of articles of the Law on Medical Examination and Treatment 2023.
Connecting information of electronic medical records with personal identification numbers of Vietnamese citizens and foreigners who have been granted electronic identification accounts according to legal regulations on identification.
Along with that, comply with the provisions of law on medical examination and treatment, data, information technology, electronic transactions, network information security, network security, information access, personal data protection, data storage; regulations on management, connection and sharing of electronic data of state agencies.
Regarding regulations on electronic signature and confirmation in electronic medical records, the Ministry of Health requires medical staff, patients or patients' representatives to electronically sign or confirm relevant content in electronic medical records in one of the following forms: using legal electronic signatures; using biometric techniques; using other forms of confirmation by electronic means as prescribed in Clause 4, Article 22 of the Law on Electronic Transactions.
The Ministry of Health requires medical examination and treatment facilities licensed to operate as hospitals to implement electronic medical records no later than September 30, 2025.
For other medical examination and treatment facilities with inpatients, day care and outpatients, deploy electronic medical records, to be completed no later than December 31, 2026.
The Ministry of Health said that documents and regulations such as Circular No. 46/2018/TT-BYT dated December 28, 2018 of the Ministry of Health regulating electronic medical records; Section VIII in Appendix I and evaluation criteria related to electronic medical records in Circular No. 54/2017/TT-BYT dated December 29, 2017 of the Minister of Health promulgating a set of criteria on the application of information technology at medical examination and treatment facilities cease to be effective from the date this Circular is issued.
The Ministry of Health clearly states that for patients who are being treated at medical examination and treatment facilities before the effective date of this Circular and are discharged from the hospital or finish their outpatient treatment after the effective date of this Circular and are using paper medical records, these medical records will continue to be used until they are discharged from the hospital or finish their outpatient treatment, except in cases where the medical examination and treatment facility can convert them to electronic medical records.
For medical records that have been established in paper form before the effective date of this Circular, based on the actual conditions of the medical examination and treatment facility, the Head of the medical examination and treatment facility shall decide on the conversion of form between paper documents and data messages to ensure compliance with the provisions of Decree No. 137/2024/ND-CP dated October 23, 2024 of the Government regulating electronic transactions of state agencies and information systems serving electronic transactions./.
Source: https://www.vietnamplus.vn/bo-y-te-yeu-cau-benh-vien-trien-khai-ho-so-benh-an-dien-tu-cham-nhat-ngay-309-post1043485.vnp
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