The establishment of health records should follow the principle of combining voluntariness with guidance, and pay attention to protecting the personal privacy of the clients during the use. In areas where electronic health records are established, attention should be paid to protecting the data security of information systems. Residents' health records include personal basic information, health examination, health management records of key populations and other medical and health service records.
The service target is the permanent residents within the jurisdiction (referring to the registered and non-registered residents who have lived for more than half a year), focusing on children aged 0-6, pregnant women, the elderly, patients with chronic diseases, patients with severe mental disorders and tuberculosis.
Contents of residents' health records
1. Personal basic information includes basic information such as name and gender, as well as basic health information such as past medical history and family history.
2. Physical examination includes general health examination, lifestyle, health status, medication for diseases and health evaluation.
3. The health management files of key populations include the health management files of children aged 0-6, pregnant women, the elderly, patients with chronic diseases, severe mental disorders and tuberculosis required by the national basic public health service project.
4. Other medical and health service records include other admission, referral and consultation records except the above records.