1, personal basic information, including basic information such as name and gender, and basic health information such as past medical history and family history;
2. Physical examination, health status and drug use for diseases;
3. Health management records of key populations, including health management records 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, other admissions, referrals, consultation records, etc.
Legal basis: Article 8 of the Regulations on the Management of Rural Doctors' Practice.
The state encourages persons who have obtained the qualification of practicing doctors or assistant practicing doctors to set up village medical and health institutions or provide prevention, health care and medical services for villagers in village medical and health institutions.
Why should we establish a national health record for residents?
1. In the process of filing, we can find many chronic diseases that are not easy to be found by patients, such as hypertension and diabetes, and carry out health management on the diseases. At the same time, it can popularize health knowledge, change people's bad living habits and improve their health level and quality;
2. Establishing a complete and true health file can make medical staff fully understand your health status, thus providing high-quality, comprehensive and continuous public health services;
3 residents' health records provide basic materials for medical treatment, two-way referral and medical insurance reimbursement. Community health service institutions, township hospitals and village clinics within the jurisdiction can establish health records at any time.