Here is the translation of the provided text:
1. **Essence of the Law:**
The order introduces amendments to the existing procedure for conducting mandatory medical examinations in healthcare facilities of the Ministry of Internal Affairs (MIA). The main goal of the changes is to update the regulatory framework in accordance with current legislation in the field of healthcare and social protection of military personnel. The changes concern both the name of the procedure and the specific procedures for conducting medical examinations, the list of required documents, and reporting forms.
2. **Structure and Main Provisions:**
* **Title and Clause 1 of MIA Order No. 1146:** The word “(dispensary observation)” has been removed from the title and clause 1 of the order.
* **Section I:**
* Updated requirements for healthcare facilities conducting medical examinations, in particular, the requirement for accreditation has been replaced with the requirement for conducting economic activities in medical practice.
* References to legislative acts have been updated, in particular, references to outdated resolutions of the Cabinet of Ministers of Ukraine and orders of the Ministry of Health have been replaced with current ones.
* **Section II:**
* Changes have been made to the list of documents required for undergoing a medical examination, in particular, a requirement to provide a certificate of psychiatric examination has been added.
* The procedure for agreeing on the list of categories of employees who are subject to periodic medical examinations has been clarified.
* Changes have been made regarding the conduct of medical examinations of servicemen of the National Guard of Ukraine (NGU) and persons studying in higher education institutions of the Ministry of Internal Affairs.
* Updated requirements for оформлення results of medical examinations, in particular, the forms of the final act.
* **Sections III, IV:**
* Sections on dynamic monitoring and analysis of the results of periodic medical examinations are presented in a new edition.
* **Other Changes:**
* Outdated names and references in the text of the Procedure have been replaced with current ones.
3. **Key Provisions for Use:**
* **Updated requirements for healthcare facilities:** Facilities conducting medical examinations must have a license to conduct economic activities in medical practice.
* **New document requirements:** Citizens being hired must provide a certificate of psychiatric examination.
* **Changes to the procedure for conducting medical examinations of NGU servicemen and MIA students:** Procedures and responsible persons for conducting medical examinations have been clarified.
* **Updated reporting forms:** Healthcare facilities of the Ministry of Internal Affairs must use new forms of final acts and operational information.
* **Cost of services:** Preliminary and periodic medical examinations of persons who are not entitled to medical care in healthcare facilities of the Ministry of Internal Affairs are conducted for a fee.
This order is important for employees and military personnel undergoing mandatory medical examinations in healthcare facilities of the Ministry of Internal Affairs, as well as for the heads of these facilities and employers who organize medical examinations.
