Basic requirements of residents' health records

The basic requirements of residents' health records are integrity, standardization, confidentiality, continuous updating and easy management.

1, completeness: comprehensive information such as basic information, medical history, diagnosis and treatment records, living habits, vaccination, physical examination, laboratory examination and imaging examination of residents must be recorded.

2. Specification: in line with national and local standards and specifications, ensuring accurate records and comparable information, and facilitating statistical analysis.

3. Confidentiality: Personal privacy should be kept strictly confidential and can only be viewed and used by relevant medical personnel, and no disclosure or abuse is allowed.

4. Continuous updating: As time goes by, the health status of residents will change, so it is necessary to update the files in time to ensure that the latest information can be reflected in the files in time.

5. Easy to manage: there should be a perfect management mechanism to ensure the convenient, fast and safe storage, retrieval, archiving and migration of files.

6. Archives refer to historical records that are recorded on various carriers and have preservation value and are preserved according to certain rules and deadlines. They can be divided into paper files, electronic files, audio-visual archives and other types, which record all kinds of important information, including personal experiences, academic research, policies and regulations, historical events and so on. This is an important basis for people to understand and study the past.