The medical worker in conducting a medical examination shall be guided by the existing
methodological guidelines, taking into account the provisions of the Istanbul Protocol and
Guidelines.
A medical examination is mandatory in all cases:
1) of appeal (receipt) of a patient with complaints of violence/torture and ill-treatment;
2) delivery of persons to places of detention and restriction of freedom in accordance
with the law, their transfer to another place of deprivation and restriction of liberty;
3) in case of causing physical and mental suffering during the presence of a person in
custody and restrictions of freedom, by law enforcement agencies or participation in events
involving the intervention of law enforcement officers.
The medical worker has a statutory responsibility for poor-quality medical examination
and unfounded conclusions without providing the necessary assistance to the patient, and not
conducting the needed examination and not sending the patient in the case of common
diseases or abnormalities in his/her state of health to a specialized organization for health for
additional diagnostic, therapeutic and rehabilitation measures.
On December 14, 2014, a practical guide was approved by order of the Ministry of
Health.
Along with the guide, the following was approved:
Form of medical examination in case of appeal (receipt) about violence/torture and illtreatment and Instruction on the procedure for its completion;
Form of the forensic medical examination when documenting cases of torture and illtreatment and Instruction on the procedure for its completion;
Form of a forensic psychiatric and complex psychological and psychiatric examination of
victims of alleged torture, abuse and violence, and Instruction on the procedure for its
completion;
Unified accounting and reporting form that allows conducting a statistical study and
shows the actual number of people affected by the illegal actions of law enforcement agencies,
including torture.
The Guide is mandatory for the medical workers of the health care organization
regardless of the management and departmental subordination.
Expected results due to the introduction of the Guide:
1. Unification and implementation in the Kyrgyz Republic of international standards of correct
documentation and examination of torture and violence.
2. Medical workers use a single standardized form of examination, medical and psychiatric
examinations, accounting and reporting medical records for all forms of violence, torture
and ill-treatment.
72 | Annual Report 2014
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