Abstract
With the development of electrical medical recording technology, the function has been highly improving to fully collect a wide variety of medical information. However, medical records are still problematic because of their redundant and fragmental nature. It is anticipated to annually hold the overview of the whole medical problems of each patient orderly and compactly from the beginning of the medical practice to the current stage. This work contributes to improve the quality of medicine and communications among patients and medical staff. We contrived the standard format which included diagnoses or problems, drugs and the selected findings in standard laboratory and instrumental examinations, useful contributory medical information from the other medical offices and hospitals into a sheet of paper of A–4 size. We completed a total of 500 summaries for 2011. We affixed this summary on the first page of medical record and private medical note for patient. Family physicians consumed a lot of time and effort, but saved time to quickly grab the whole picture and could improve the quality of medical practice as well as communications. It is advisable for the physicians to make an annual summary as a routine medical work in outpatient clinic.
