The basic principles of establishing health records are as follows: ① voluntariness and combination of various methods. On the basis of residents' willingness, health records are established in various ways, and it is not required to establish health records in a unified way. ② Reflect the characteristics of health management and continuous service. Effective management of health records can reflect the characteristics of health management and continuous service. ③ Combination of scientificity and flexibility. First of all, file management should not be far away from medical staff, and a set of files should be established for people and families who receive services at home. Due to the limitations of manpower, material resources and financial resources, it is not required to establish health records for all residents in the area. The key population can be filed in batches and managed dynamically, and health records can also be established for those who participate in the new rural cooperative medical system.