In China, residents' health records are generally divided into three parts, namely, personal health records, family health records and community health records. The importance of establishing health records has been recognized by most medical staff.
First, the concept of personal health records.
Personal health records can be simply defined as: systematic documents that record residents' personal health information, including medical records, health examination records, health care cards and personal and family records. Its complete personal health records play an extremely important role in community health services.
Second, the main contents of personal health records.
Personal health records include problem-centered personal health records and prevention-oriented regular health records. Personal health problems in community health services can be recorded through problem-oriented medical records (POMR). POMR consists of basic data, problem list, problem description, disease flow chart, etc.
3. What are the subjective data of personal health records?
Personal health monitoring files should include the following contents:-general information such as the name, gender, age, native place, marriage, education level and working years of the workers; -Workers' occupational history, past history of occupational hazards and exposure history;
—Monitoring results of occupational hazard factors in corresponding workplaces; —Occupational health examination results and treatment; -Workers' health information such as diagnosis and treatment of occupational diseases.