The use of other medical guides will require approval. Applications for approval can be submitted to the Danish Maritime Authority in connection with publication and sale for Danish ships, but the Danish Maritime Authority can also - in connection with the transfer of ships to the Danish flag - approve a medical guide that it is requested to use on board one or more specific ships. The following criteria must be met in order for a medical guide to be approved:
- The medical guide must contain a description of the medical care in accordance with current international standards and guidelines (IMO/WHO), including what is professionally covered by the WHO's International medical guide for ships: including the ship's medicine chest.
- The medical guide must contain guidelines for the most common clinical procedures and first aid in accordance with actual practice at the Danish courses for persons in charge of medical care.
- The medical guide must contain guidelines for the use of Radio Medical, the use of RM records and a description of the role of the person in charge of medical care. Guidelines and descriptions must be in accordance with actual practice at Radio Medical Denmark.
- The medical guide must be based on and refer to the actual contents of the medicaments and medical equipment that is required to be on board Danish ships.
- The medical guide must be in both Danish and English.
The publisher of the medical guide must have a process for ensuring that the medical guide is continuously updated as regards medical practice and that the references to the medicine chest and the RM records are updated.