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StandardforEnglish-VersionEmployeeHealthExaminationReport
1.BasicStructureoftheReport
1.1PersonalInformationSection
PrivacyProtection:AvoidincludingsensitiveinformationsuchasIDnumbers,mobilephonenumbers,ordetailedresidentialaddresses.Iflocalregulationsrequirepartialdisclosure,ensuretheinformationisminimizedandencryptedasneeded.
1.2ExaminationItems&ClassificationPresentation
Tohelpreadersquicklyunderstandthescopeandfocusoftheexamination,itemsshouldbeclassifiedandpresentedsystematically:
GeneralPhysicalExamination:Includevitalsigns(bloodpressure,heartrate,respiratoryrate),anthropometricdata(height,weight,BMI),sensoryfunction(visualacuity,hearing),andgeneralphysicalcondition(e.g.,“Noobviousabnormalsignsinthecardiovascularsystem”afterphysicalexamination).
Imaging&FunctionalExaminations:CoverchestX-ray(toscreenforlungdiseases),abdominalultrasound(toevaluateliver,gallbladder,andkidneyconditions),Electrocardiogram(ECG,toassessheartrhythmandstructure),andjob-relatedspecialexaminations(e.g.,Audiometryforemployeesexposedtonoise,PulmonaryFunctionTestforthoseexposedtodust).
1.3ExaminationResults&Interpretation
Thisisthecoreofthereport,requiringaccuratedataandclearinterpretation:
ResultPresentation:Foreachitem,listthetestresult,referencerange,andunit.Forexample:“BloodPressure:120/80mmHg(ReferenceRange:90-140/60-90mmHg)”;“AlanineAminotransferase(ALT):35U/L(ReferenceRange:0-40U/L)”.
Basedontheoverallexaminationresults,providepersonalizedandactionablehealthguidance:
2.ContentSpecification
Toensurethescientificityandauthorityofthereport,strictcontentnormsmustbefollowed:
2.1DataAccuracy
NumericalAccuracy:Alltestdata(e.g.,measurementvalues,laboratoryresults)mustbeconsistentwiththeoriginalexaminationrecords.Ifunitconversionisrequired(e.g.,convertingweightfrom“jin”to“kg”or“l(fā)b”),ensuretheconversionformulaiscorrect(1kg=2.2046lb,1jin=0.5kg)andclearlymarkboththeoriginalandconvertedunits(e.g.,“Weight:70kg(154.3lb)”).
2.2StandardizationofMedicalTerminology
UseofInternationalTerminology:Adoptinternationallyrecognizedmedicaltermstoavoidmisunderstandingscausedbynon-standardexpressions.Forexample,use“MyocardialInfarction”insteadofliteraltranslationslike“HeartMuscleInfarction”;use“Hypertension”insteadof“HighBloodPressure”informalresultdescriptions(thelattercanbeusedinexplanatorytext).
2.3ObjectivityofResultDescription
3.FormatRequirements
Astandardizedformatenhancesthereadabilityandprofessionalismofthereport:
3.1DocumentLayout
Font&FontSize:Useclearandprofessionalfonts,suchasTimesNewRomanorArial.Thebodytextissettofontsize12,andsectionheadings(e.g.,“1.BasicStructureoftheReport”)aresettofontsize14todistinguishlevels.
LineSpacing&Margins:Setthelinespacingto1.5tofacilitatereadingandnote-taking;thetop,bottom,left,andrightmarginsareuniformlysetto2.54cm(1inch)toensurethereportcanbeneatlyboundandprinted.
3.2Header&Footer
HeaderContent:Theheadershouldincludethereportnumber(e.g.,“ReportNo.:EHE-2024-001”),theemployee’sname(abbreviatedifnecessaryforprivacy,e.g.,“Mr.ZhangS.”),andthepagenumber(e.g.,“Page1of5”)tofacilitatereportmanagementandturningreference.
3.3Signature&Seal
Physician’sSignature:Thereportmustbesignedbytheattendingphysician(usingEnglishsignatureorPinyinsignature,e.g.,“Signature:WangWu/Signature:WuWang”)andtheexaminationdatemustbemarkedtoconfirmtheauthenticityoftheresultinterpretation.
Institution’sSeal:Affixtheofficialsealoftheexaminationinstitution(iftheinstitutionhasanEnglish-namedseal,useit;otherwise,theChinesesealwiththeEnglishnameoftheinstitutionnotedbelow)toensurethereporthaslegaleffectandcanberecognizedbyoverseasinstitutions.
4.Translation&LocalizationConsiderations
ForreportstranslatedfromChinese,payattentiontothefollowingpointstoensurecross-culturalapplicability:
4.1AccuracyofMedicalTermTranslation
TermConsistency:Ensurethesamemedicaltermistranslatedconsistentlythroughoutthereport.Forexample,“高血壓”isuniformlytranslatedas“Hypertension”insteadofbeingtranslatedas“HighBloodPressure”insomeplacesand“ElevatedBloodPressure”inothers.
4.2Cultural&RegionalAdaptation
Unit&HabitAdaptation:Forregionsaccustomedtoimperialunits(e.g.,US),appropriatelyaddunitconversions(e.g.,“Height:175cm(5ft9in)”,“Weight:70kg(154lb)”)toimprovereadability,whileensuringthemetricunitisthemainunittomaintaininternationalconsistency.
5.Review&VerificationProcess
Toensurethequalityofthereport,amulti-levelreviewmechanismmustbeestablished:
5.1MedicalReview
Aphysicianwithprofessionalqualifications(preferablywithexperienceinoccupationalhealthorgeneralinternalmedicine)shouldreviewthereportfromamedicalperspective:
Verifytheaccuracyoftestresultsandresultinterpretations(e.g.,whetherthereferencerangeisappropriate,whethertheabnormalresultdescriptionisaccurate).
5.2TranslationReview
Atranslatorwithamedicalbackground(oraprofessionaltranslatorwhohasreceivedmedicaltranslationtraining)shouldreviewthetranslatedreport:
Checktheaccuracyofmedicaltermtranslation(e.g.,whether“脂肪肝”istranslatedas“FattyLiver”insteadof“LiverFat”).
EnsurethelanguagefluencyandnaturalnessoftheEnglishexpression,avoidingChinglish(e.g.,correct“Theliverhasaproblem”to“Abnormalfindingswerenotedintheliver”or“Liverabnormalitywasdetected”).
5.3FinalApproval
Afterpassingthemedicalandtranslationreviews,thereportmustbeapprovedbytheauthorizedpersonoftheexaminationinstitution(e.g.,theheadofthe
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