From January 1, 2011 onwards, the medical record for the door (emergency) of Class 2 medical institutions in Xining area can be used universally. Later, the patient can take the general medical records to the hospitals for treatment.

On December 17, the reporter learned from the Health Department of Qinghai Province that in order to reduce the burden of medical expenses for the people, standardize the practice of diagnosis and treatment, facilitate the people's medical treatment, and facilitate the sharing of medical information among medical institutions, and a comprehensive and complete understanding of the medical history of the patient. During the treatment process, missed diagnosis and misdiagnosis were avoided to the maximum extent, and the accuracy of diagnosis and medical quality were improved. The Department of Health of Qinghai Province decided to implement door (emergency) medical records for medical institutions at grade two or above in Xining. The general medical door (emergency) medical records will be officially launched on January 1, 2011, and the old medical records that have been sent to patients can continue to be used. Since March 1, 2011, the general medical records will be fully implemented and the old medical records will cease to be used.

The reporter saw a generic medical door (emergency) medical record form in the provincial health department. In the home page, there are names, sex, date of birth, occupation, marriage, history of drug allergies, mailing address, contact information, guardian name, guardian-patient relationship, contact address, contact telephone number, past medical history, family history, and trauma. History of surgery, history of vaccination, etc. These are filled out by the first clinic. At each visit of the medical examiner, the attending doctor shall write the name of the medical institution, the time of the visit, the division, the chief complaint, the current medical history, the past medical history and the physical examination, and the results of the auxiliary examination (including the examination time and the examination unit) on the general medical record. Diagnosis, treatment opinion and signature of the physician.

After the outpatient medical records are common, the results of the auxiliary examinations will be mutually recognized by the medical institutions according to the current regulations. When a patient visits a different hospital or different hospitals in the same hospital one after another, the subsequent admission doctor will need to record a different medical record.

Provincial Health Department also requested that general outpatient medical records be applied at all levels of public, private and enterprise medical institutions, but military hospitals are not in use. In addition, general outpatient medical records are limited to outpatient and emergency medical visits. No medical institution may require the medical practitioner who holds a patient's outpatient medical record to re-purchase medical records or refuse treatment for any reason. As a patient, it is hoped that multiple medical records will not be used at the same time in order to ensure continuity in the contents of medical records.