ORDER OF THE GOVERNMENT OF THE REPUBLIC OF KAZAKHSTAN

of January 30, 2010 No. 44

About approval of Rules of conducting military-medical examination and Regulations on bodies of military-medical examination

According to the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system" the Government of the Republic of Kazakhstan DECIDES:

1. Approve enclosed:

1) Rules of conducting military-medical examination;

2) Regulations on bodies of military-medical examination.

2. Declare invalid the order of the Government of the Republic of Kazakhstan of March 31, 2006 No. 226 "About approval of Rules of conducting military-medical examination in Armed Forces, other troops and military forming of the Republic of Kazakhstan" (SAPP of the Republic of Kazakhstan 2006, No. 11, the Art. 108).

3. This resolution becomes effective from the date of official publication.

Approved by the Order of the Government of the Republic of Kazakhstan of January 30, 2010 No. 44

Rules of conducting military-medical examination

Chapter 1. General provisions

1. These rules of conducting military-medical examination (further - Rules) are developed according to the Code of the Republic of Kazakhstan of September 18, 2009 "About health of the people and health care system", the laws of the Republic of Kazakhstan of January 7, 2005 "About defense and Armed Forces of the Republic of Kazakhstan", of February 13, 2012 "About special state bodies of the Republic of Kazakhstan", of February 16, 2012 "About military service and the status of the military personnel".

2. Rules determine procedure for the organization and conducting military-medical examination in Armed Forces, other troops and military forming of the Republic of Kazakhstan, in special state bodies, law enforcement agencies.

3. Military-medical expertize is carried out:

1) in case of medical examination:

the citizens attributed to draft sites, called on military service or military charges;

the citizens arriving on military service or service in special state and law enforcement agencies including under the contract;

the military personnel undergoing military military service or to the contract;

staff of special state and law enforcement agencies;

cadets of military (special) educational institutions, educational institutions of special state bodies, cadets and pupils;

military personnel (the serving Armed Forces), the staff (workers) of the special state and law enforcement agencies which are selected for service (work) and serving (working) with radioactive materials, the ionizing sources of radiations, components of rocket fuels, sources of electromagnetic fields;

the citizens arriving: in the military (special) educational institutions realizing programs of postgraduate education;

in the military (special) educational institutions realizing programs of secondary technical and professional, postsecondary and higher education; on military faculties of educational institutions (further - military faculties); in the organization of general secondary, technical and professional, postsecondary education with additional educational programs for military preparation; organizations of formation of law enforcement agencies;

aviation personnel of the state aircraft;

the citizens staying in inventory in case of appeal on military charges, charges of special state bodies or military service, service in special state and law enforcement agencies or in the accounting purposes;

2) when implementing psychophysiological selection of the citizens arriving on service in special state and law enforcement agencies;

3) in case of determination of causal relationship of diseases, mutilations (wounds, injuries, contusions) (further - mutilations) at the military personnel or citizens passing military service (military charges) at the staff of the special state and law enforcement agencies or citizens serving in special state and law enforcement agencies (special charges);

4) in case of determination of category of the validity of citizens for health reasons to military service or service in special state and law enforcement agencies at the time of their dismissal from military service or from service in special state and law enforcement agencies;

5) in case of determination of causal relationship of death (death) of the military personnel, persons liable for call-up, employees in the period of military service (military charges) or service in special state and law enforcement agencies or after dismissal from military service (military charges) or service (charges) in special state and law enforcement agencies owing to mutilation, the diseases got during passing of military service (military charges) or service (charges) in special state and law enforcement agencies.

Chapter 2. Procedure and the organization of conducting military-medical examination in Armed Forces, other troops and military forming of the Republic of Kazakhstan, special state bodies of the Republic of Kazakhstan

1. Medical examination of the citizens attributed to draft sites, called on military service or military charges

4. For performing medical examination of citizens on representation of chiefs of local authorities of public administration health care and local authorities of military management of the resolution of akimats (in areas, the city of republican value and the capital) creates permanent, and in areas (the cities of regional value) temporarily (constantly) operating medical commissions depending on the number of the citizens staying on the military registry.

5. In structure of the commission from the organization of health care the most skilled specialists doctors having preparation concerning military-medical examination are allocated: surgeon, therapist, neuropathologist, psychiatrist, oculist, otorhinolaryngologist, dermatovenerologist, stomatologist. In need of structure of medical commissions doctors of other specialties are attracted. The average medical personnel are allocated according to requests of departments, managements (departments) for defense.

6. To addition of citizens to draft sites, appeal on military service the medical organizations of health care for requests of managements (departments) for defense within seven working days submit the following medical documents according to the procedure, determined by authorized body:

1) from psychoneurological, narcological, antitubercular and skin and venereologic dispensaries (offices) - data (certificate) of condition on accounting of the citizens attributed to draft sites, called on military service;

2) from other medical organizations - data on condition on dispensary accounting concerning chronic diseases and infectious and parasitic diseases postponed within the last twelve months, data on preventive inoculations and intolerance (hypersensibility) of medicamentous means and other substances, and also the medical records of the outpatient (form No. 025/at) and the loose leaf of the teenager to the medical record (form No. 025-1/u), medical documents characterizing the state of health of citizens (the statement from medical records of the inpatient, the roentgenogram, protocols of ad hoc methods of researches and other data for the last five years).

References and statements are certified by stamp and seal of the medical organizations of health care.

7. To the citizens who are subject to addition to draft sites and appeal on military service within thirty working days before medical examination are carried out:

1) general blood test;

2) reaction of mikropretsipitation (microreaction) to syphilis;

3) general analysis of urine;

4) electrocardiography (further - the ECG);

5) the fluorographic (radiological) research of bodies of thorax is conducted not later than three months on the date of medical examination.

8. Data on results fluorographic (radiological), laboratory and electrocardiographical researches, growth and body weight, and also about all earlier received preventive inoculations and intolerance (hypersensibility) of medicamentous means and other substances register in accounting card of the recruit.

Flyuorogramma (roentgenogram) are in the personal record osvidetelstvuyemy before the expiration of its military service, later return to the relevant medical organizations where they are stored in type of fluorographic films or on the electronic medium within one year.

9. The doctor leading work of medical personnel - the chairman of medical commission:

1) prior to medical examination:

checks condition of rooms of recruiting (combined) station, equipment of offices of specialists doctors medical and other property according to appendix to these rules;

specifies the place, time and procedure for the direction of citizens on inspection (treatment);

instructs specialists doctors about the organization and performing medical examination of citizens, explains provisions of the these rules and requirements imposed to compliance of the state of health of persons for service in the Armed Forces, other troops and military forming of the Republic of Kazakhstan approved by the central executive body in the field of defense in coordination with authorized body in the field of health care and also regulatory legal acts concerning conducting military-medical examination;

reports on the commission chairman on addition or appeal on military service - to the deputy manager of local executive body (akim) of the area (the city of regional value) on shortcomings of training of citizens for medical examination according to legal acts of the Republic of Kazakhstan;

2) during medical examination:

provides interaction of work of specialists doctors;

checks quality of registration, justification of the conclusions which are taken out by the specialists doctors and their compliance to requirements shown to compliance of the state of health of persons for service in Armed Forces, other troops and military forming of the Republic of Kazakhstan (further - requirements);

jointly with the doctors who are part of medical commission takes out the conclusion of medical commission about category of the validity of citizens to military service and indicator of purpose by types and types of military forces;

daily checks correctness of ledger maintenance of protocols of the commission;

checks timeliness of the direction of citizens for inspection (treatment) according to earlier taken out conclusions;

daily sums up the results, analyzes results of medical examination of citizens and reports on their commission chairman;

makes explanations to citizens concerning medical examination in case of addition to draft sites, appeal on military service;

takes part in permission of the claims and statements connected with medical examination of citizens.

10. When performing medical examination the specialist doctor shall make sure of the identity of osvidetelstvuyemy, check medical documentation, conduct examination and write down in accounting card of the recruit, in the loose leaf to the medical record the diagnosis (in the absence of diseases entry is made - "is healthy"), the conclusion about category of the validity to military service according to requirements.

11. The citizens recognized in case of addition to draft sites needing inspection (treatment), are considered by departments, managements (departments) for defense in two lists:

1) in the list No. 1 - temporarily unusable to military service;

2) in the list No. 2 - suitable for military service with insignificant restrictions.

The specified lists no later than ten working days after completion of work of the commissions on addition go to the medical organizations for the place of attachment of the recruit. Heads of the medical organizations and local executive bodies provide timely inspection and treatment of citizens.

12. The direction on inspection (treatment) is issued to the citizens who are subject to addition to draft sites, appeal on military service in case of the announcement it decisions of the commission on addition or the draft commission.

13. In cases when doctors find it difficult to determine finally the state of health of the recruit, the draft commission directs it to out-patient or stationary inspection in medical (treatment-and-prophylactic) institution. In the direction the name of the medical organization (military-medical organization), the expected diagnosis are specified that it is required to specify also the term of repeated appearance on medical examination.

On inspection (treatment) are attached the act of research of the state of health to the direction (further - the act), the medical record of the outpatient and medical documents characterizing the state of health.

Upon termination of physical examination the act which is signed by the chief physician and the doctor conducting physical examination and is sealed the medical organization (organization) is filled in.

The act is submited the commissions on addition or the draft commission which pass the final decision on category of the validity to military service.

14. When performing medical examination the specialist doctor writes down the diagnosis in accounting card of the recruit, in the loose leaf to the medical record (in the absence of diseases entry is made - "is healthy"), the conclusion about category of the validity to military service according to requirements, purpose indicator by types and types of military forces.

15. To the citizens in case of addition or appeal on military service arriving for training in the programs of preparation of the military trained reserve recognized suitable for military service or suitable for military service with insignificant restrictions, the specialist doctor of medical commission after the conclusion about category of the validity to military service establishes purpose indicator by types and types of military forces according to requirements.

16. To the citizens recognized in case of addition or appeal on military service temporarily unusable to military service, the specialist doctor takes out the conclusion about temporary worthlessness to military service.

On medical indications the conclusion about temporary worthlessness to military service is taken out for a period of three up to six months which in case of unfinished cases of diseases is taken out repeatedly, but in total the term of temporary worthlessness shall not exceed twelve months then repeated medical examination is carried out.

In case of completion of inspection (treatment) of citizens before completion of work of the commission on addition or the draft commission (the current appeal on military service), the conclusion about temporary worthlessness to military service is not taken out, and the specialist doctor draws the conclusion about inspection (treatment) and repeated medical examination.

To the citizens needing in long (over three months) inspection (treatment), the conclusion about temporary worthlessness to military service for a period of six up to twelve months then repeated medical examination is carried out is taken out.

After the expiration of temporary worthlessness of citizens to military service the final conclusion about the validity (worthlessness) to military service is taken out.

Persons exempted from appeal on conscription military service on achievement of twenty seven years are not subject to medical examination (survey).

17. If in case of addition the citizens recognized suitable for military service with insignificant restrictions need treatment, sanitation of oral cavity, sight correction, the conclusion of the specialist doctor after purpose indicator by types and types of military forces is supplemented with words: "Needs treatment (sanitation of oral cavity, sight correction)", the specified category of citizens goes for treatment to the medical organizations for the place of attachment.

18. On the citizens recognized restrictedly suitable for military service, temporarily unusable to military service, unusable to military service, and also directed to inspection (treatment) the sheet of medical examination is filled in.

19. The validity to training in military specialty is determined according to requirements and taken out after the conclusion about category of the validity of citizens to military service.

20. The conclusion registers in accounting card of the recruit, in the book of protocols of the draft commission.

21. After performing medical examination by the draft commissions of areas (the cities of regional value) regional (the cities of republican value and the capital) the draft commission will organize control medical examination for the purpose of exception of cases of appeal on military service of the citizens who are not subject to appeal for health reasons. Before sending to the place of passing of military service of recruits test for availability in organism of narcotic substances, conduct research on HIV (according to indications).

22. If as a result of medical examination at the citizen the variations in the state of health interfering appeal on military service (changing category of the validity to military service) are revealed, the specialist doctor regional (the cities of republican value and the capital) medical commission draws up leaf of medical examination, and regional (the cities of republican value and the capital) the draft commission cancels the decision of the draft commissions of areas, cities and passes the decision which is drawn up in the book of protocols and appears to citizens.

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