1, what is the residents' health record?
Residents' health records are the database of residents' health status. It records the family history, genetic history, living and working environment of residents.
From birth, record the growth and development, health status and preventive health care management information of newborns, infants and preschool children;
Women's health management information at all stages of life, especially during pregnancy;
Health management of the elderly and medical care information during illness in different periods.
In short, health records should be comprehensive, comprehensive and continuous health data that accompany residents' lives. It records the health status and information of prevention, medical treatment, health care and rehabilitation of residents in all stages of their lives in detail and completely.
2. Who can establish the residents' health records?
All urban and rural residents who have lived in the area for more than half a year, including registered and non-registered population (focusing on children aged 0-6, pregnant women, the elderly, patients with chronic diseases, patients with severe mental disorders and tuberculosis), can apply for the establishment of residents' health records in the township hospitals, village clinics or community health service centers (stations) where they live.
3. What are the advantages of establishing residents' health records?
Providing this service will bring a lot of convenience to the overall health management of residents:
(1) Medical staff can know the health status of residents, make basic health assessment and give targeted health guidance;
(2) With health records, residents can enjoy continuous and comprehensive health protection. Medical staff can systematically understand the health status and dynamic changes, existing health risk factors, diagnosis and treatment of diseases and disease changes of residents at different stages by looking at the health file information, so as to make a comprehensive evaluation of the health status of residents and take corresponding treatment measures to better promote health and control the occurrence and development of diseases;
(3) With the gradual realization of electronic information management of health records, residents can realize graded diagnosis and treatment and two-way referral between primary medical institutions and superior hospitals, reduce repeated examinations, reduce medical expenses, and alleviate the problem of "expensive and difficult to see a doctor";
(4) By analyzing the health records of residents in the area, medical personnel can find the main health problems in the area and take effective preventive measures.
4. How to establish residents' health records?
When residents go to township hospitals, village clinics and community health service centers (stations) for medical treatment and consultation, or receive services such as group health survey, disease screening and health examination, grassroots medical staff are responsible for establishing health records for residents. Medical staff will also establish health records for residents when carrying out family follow-up and other work.
5. What are the contents of residents' health records?
Residents' health records include personal basic information, health examination, health management records of key populations and other medical and health service 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 physical examination, lifestyle, health status, medication for diseases and health evaluation.
(3) Health management records of key populations include 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 include other admission, referral and consultation records other than the above records.
Legal basis:
Measures of People's Republic of China (PRC) Municipality on the Administration of Urban Community Archives
Fourth community party organizations and residents' committees should attach importance to archival work, strengthen organizational leadership, incorporate archival work into community construction, and promote the synchronous and coordinated development of archival work and other community work.
Fifth community archives work funds come from community office funds, and should meet the needs of actual work.
Sixth community party organizations or residents' committees should be equipped with specialized personnel to manage all kinds of archives in the community, and comprehensive archives can be set up where conditions permit.