Guidelines for Blood Pressure Examination during Military Service Medical Examination in 2025 according to Circular 105/2023/TT-BQP.
Guidelines for Blood Pressure Examination during Military Service Medical Examination in 2025 according to Circular 105/2023/TT-BQP
Based on sub-section 6 Section IV Appendix I issued together with Circular 105/2023/TT-BQP, the guidelines for blood pressure examination during military service medical examination from January 1, 2024, are as follows:
Blood Pressure:
- Standardized method of measuring blood pressure (BP): According to the correct blood pressure measurement procedure (Issued together with Decision 3192/QD-BYT dated August 31, 2010, of the Minister of Health on guidelines for the diagnosis and treatment of hypertension):
+ Rest in a quiet room for at least 5-10 minutes before measuring blood pressure.
+ Do not use stimulants (coffee, smoking, alcohol) 2 hours prior.
+ Standard measurement posture: The person being measured sits on a chair, arm extended on the table, elbow level with the heart. Additionally, measurements can be taken in lying or standing positions. For elderly individuals or those with diabetes, standing measurements should be taken to determine if there is orthostatic hypotension.
+ Use a mercury sphygmomanometer, aneroid sphygmomanometer, or electronic sphygmomanometer (arm type). Devices need periodic calibration. The cuff bladder length (inside the cuff) must be at least 80% of the arm circumference, the width at least 40% of the arm circumference. Wrap the cuff snugly, with the lower edge 2 cm above the elbow crease. Place the device at a level where the machine or zero mark of the scale is level with the heart.
+ If not using an automatic device, locate the brachial artery before measuring to place the stethoscope. Inflate 30mmHg above the point where the pulse disappears. Deflate at a 2-3 mmHg per beat rate. Systolic BP corresponds to the first pulse sound (Korotkoff phase I) and diastolic BP corresponds to the disappearance of the pulse sound (Korotkoff phase V).
+ Do not talk during the blood pressure measurement.
+ For the first measurement, measure BP on both arms; the arm with the higher BP reading should be used for future monitoring.
+ Blood pressure should be measured at least twice, with each measurement at least 1-2 minutes apart. If the readings differ by more than 10 mmHg, another measurement should be taken a few minutes after resting for over 5 minutes. The recorded BP value is the average of the last two measurements.
+ In case of doubt, blood pressure can be monitored with an automatic home monitor or 24-hour ambulatory blood pressure monitor (BP Holter).
+ Record the measurement in mmHg as systolic/diastolic BP (e.g., 126/82mmHg), without rounding off and notify the person measured of their results.
* Standardized classification: If systolic and diastolic blood pressure fall into different categories, choose the higher category for classification (e.g., systolic BP Category 2, diastolic BP Category 1, conclude as Category 2 for blood pressure).
Hypertension:
- Hypertension: Classified according to the Ministry of Health guidelines (Decision 3192/QD-BYT year 2010):
| BP Category | Systolic BP (mmHg) | | Diastolic BP (mmHg) || --- | --- | --- | --- || Optimal BP | < 120 | and | < 80 || Normal BP | 120 - 129 | and/or | 80 - 84 || Prehypertension | 130 - 139 | and/or | 85 - 89 || Hypertension Stage 1 | 140 - 159 | and/or | 90 - 99 || Hypertension Stage 2 | 160 - 179 | and/or | 100 - 109 || Hypertension Stage 3 | ≥ 180 | and/or | ≥ 110 || Isolated Systolic Hypertension | ≥ 140 | and | < 90 |
Guidelines for Blood Pressure Examination during Military Service Medical Examination in 2025 according to Circular 105/2023/TT-BQP
How is the Health Classification for Military Service from January 1, 2024?
Based on Appendix I issued together with Circular 105/2023/TT-BQP, health classification is based on physique, disease, disabilities, and other health issues.
The classification standards include:
- Physique classification standards
- Disease and health issue classification standards
- List of diseases exempt from military service registration
Based on Article 6 Circular 105/2023/TT-BQP, the scoring and health classification methods for military service are regulated as follows:
(1) Scoring Method:
Each criterion, after examination, is given a score from 1 to 6 in the "Score" column, specifically:
- Score 1: Indicates very good health condition;
- Score 2: Indicates good health condition;
- Score 3: Indicates fairly good health condition;
- Score 4: Indicates average health condition;
- Score 5: Indicates poor health condition;
- Score 6: Indicates very poor health condition.
(2) Health Classification Method
Health classification is based on the scores assigned to the examination criteria. Specifically:
- Category 1: All criteria scored 1;
- Category 2: At least one criterion scored 2;
- Category 3: At least one criterion scored 3;
- Category 4: At least one criterion scored 4;
- Category 5: At least one criterion scored 5;
- Category 6: At least one criterion scored 6.
For example, a citizen with BP ≥ 160 would be classified with a score of 6 indicating poor health condition, which would be noted as Category 6 on the military service health form.
When is the Military Service Medical Examination period?
According to Clause 7 Article 8 of Circular 105/2023/TT-BQP, the military service medical examination period is from November 1 to December 31 annually. The Ministry of National Defense may adjust the timeframe when necessary.
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