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RECORDS IN FAMILY HEALTH NURSING
PRACTICE
HEALTH INFORMATION SYSTEM (HIS)- a
set of components and procedures
organized with the objective of generating
information which will improve health care
management decisions at all levels of health
system.
FUNCTIONS:
Data generation
Compilation
Analysis and synthesis
Communication and use
FIELD HEALTH SERVICE INFORMATION
SYSTEM (FHSIS)- a nationwide
facility-based recording and reporting
system that provides information to the
Local Government Units (LGUs) and the
Department of Health (DOH)
FHSIS is the official system used by the
Department of Health, and as per EO 352,
was included by the National Statistical
Coordination Board (NSCB)
● 1987 - Conceptualization stage
● 1988 - Consultative meetings
● 1989 - Pilot implementation (Region
4 & 7)
● 1990 - Nationwide implementation
● 1993 – Devolution
● 1996 - 1st modification (Modified
FHSIS)
● 2006-2007 – 2nd modification
(FHSIS v. 2008)
● 2012 - Four years after, the FHSIS
version 2008 was further enhanced
with the introduction of new
programs and indicators.
the FHSIS aims to:
(1) provide timely update on the reach or
coverage of public health services delivered
through the network of public health
facilities (e.g. BHS/health centers and
RHUs/Main Health Centers) including OPDs
of government hospitals and private health
facilities for certain health services;
(2) make public health service coverage
data available by socio-economic status
(e.g. NHTS, IPs, etc.), vulnerable groups
(pregnant, adolescent, infants, senior
citizens) and source of service (private or
public);
(3) record and generate information on
monthly morbidity resulting from various
causes, and quarterly mortality rates and
identifying the top ten leading causes of
diseases (all ages, and special age groups);
(4) track, record and report information on
demographic, nutritional status of 0-59
months old children, and selected infectious
diseases data on a yearly basis including
school-based services.
(5) develop and disseminate annual report
on national, regional and local public health
service coverage.
HOUSEHOLD PROFILES AND MASTER
LISTS
(1) Master List of Women of Reproductive
Age for FP Services, Deworming
(2) Master List of Pregnant and Postpartum
Women in the Pregnancy Tracking Form
(3) Master List of Newborns, Infants,
Under-five Children, School-Aged Children
and Adolescents;
(4) Master List of Oral Health Care Clients
(5) Master List of Adults 20-59 Years Old
(for NCD Services)
(6) Master List of Senior Citizens
(7) Master List of Households on
Environmental Health and Sanitation
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(8) Master List of Industrial Establishments
with Sanitary Permits
(9) List of Barangays by ZOD Certification
Status
RECORDING FORMS/TOOLS
INDIVIDUAL TREATMENT RECORD (ITR)-
The fundamental building block or
foundation of the FHSIS is the Individual
Treatment Record.
TARGET CLIENT LIST (TCL)- another tool
which records the individual clients who
must receive the essential package of
services intended for their particular
physiological condition.
-does not only list those individuals who
have obtained services from the health
facility but all those targeted to receive said
services.
Target Client Lists:
1. Target Client List for Family Planning
Services
2. Target Client List for Maternal Care
Services
3. Target Client List for Child Care and
Services
Part 1. Immunization and Nutrition Services
for Infants Age 0-11 Months Old and
Children Age 12 Months Old
Part 2. Nutrition and Deworming Services
for Children Age 12-59 Months Old
Part 3. Deworming Services for Children
Age 5-9 Years Old
Part 4. Deworming Services for Adolescents
Age 10-19 Years Old Part 5. Services
Rendered for Sick Children
4. Target Client List for Oral Health Care
and Services
5. Target Client List for NCD Prevention and
Control Services
Part 1. Target Client List for Risk-Assessed
Adults 20 Years Old and Above
Part 2. Target Client List for Cervical Cancer
Screening and Breast Mass Examination
Part 3. Target Client List for Visual Acuity
Screening, PPV and Influenza Immunization
for Senior Citizens
The Summary Table (ST) is a tool for the
midwives to use in recording service
coverage on a monthly basis for easier
consolidation. It is usually designed into a
12- month column format representing each
month of the year and the last column for
the annual total.
Monthly Consolidation Table (MCT)- This
tool is to be used by the supervising nurse
at the Municipal/City Health Office to record
all data from all the barangays.
Registries:
(1) NTP Registry – c/o ITIS
(2) Leprosy Registry – c/o ILIS
(3) Malaria Registry – c/o PhilMIS
(4) Rabies Registry – c/o NaRIS
(5) Filariasis Registry
(6) STH Registry
(7) STI Registry
(8) Registry on LRDs
FHSIS Reporting Tools refer to those
forms bearing the summary data that are to
be transmitted or submitted on a monthly,
quarterly and annual basis to the next level
of administration.
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Component B: Demand Generation

through Community-based Management
Information System:
● Identification and profiling of current
FP users and identification of
potential FP clients and those with
unmet need for FP (permanent or
temporary methods)
● Mainstreaming FP in the regions
with high unmet need for FP
NATIONAL FAMILY PLANNING
● Development and dissemination of
PROGRAM
Information, Education
Communication materials
VISION- For Filipino women and men
● Advocacy and social mobilization for
achieve their desired family size and fulfill
FP
the reproductive health and rights for all
Component C: Family Planning in
through universal access to quality family
Hospitals and other Health Facilities
planning information and services.
● Establishment of FP service
package in hospitals
Mission- In line with the Department of
● Organization of FP Itinerant team for
Health FOURmula One Plus strategy and
outreach missions
Universal Health Care framework, the
● Delivery of FP services by hospitals
National Family Planning Program is
to the poor communities especially
committed to provide responsive policy
Geographically Isolated and
direction and ensure access of Filipinos to
Disadvantaged Areas (GIDAs):
medically safe, legal, non-abortifacient,
● Provision of budget support to
effective, and culturally acceptable modern
operations by the itinerant teams
family planning (FP) methods.
including logistics and medical
supplies needed for voluntary
PROGRAM COMPONENTS
surgical sterilization services
Component A: Provision of free FP
● FP services as part of medical and
Commodities that are medically safe, legal,
surgical missions of the hospital
non-abortifacient, effective and culturally
● Partnership with LGU hospitals for
acceptable to all in need of the FP service:
the FP outreach missions
● Forecasting of FP commodity
Component D: Financial Security in FP
requirements for the country
● Strengthening PhilHealth benefit
● Procurement of FP commodities and
packages for FP
its ancillary supplies
● Expansion of PhilHealth coverage to
● Strengthening of the supply chain
include health centers providing No
management in FP and ensuring of
Scalpel Vasectomy and FP Itinerant
adequate FP supplyat the service
Teams
delivery points
● Expansion of Philhealth benefit
package to include pills, injectables
and IUD
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● Social Marketing of contraceptives ● Administrative Order 2014-0042:

and FP services by the partner Guidelines on the Implementation of
NGOs Mobile Outreach Services for Family
● National Funding/Subsidy Planning
● Department Memorandum
POLICIES AND LAWS 2015-0384: Establishment of the
Family Planning Logistics Hotline
● Republic Act No. 10354:
Responsible Parenthood and NEW TECHNOLOGIES RELATED TO
Reproductive Health Act of 2012 PUBLIC HEALTH ELECTRONIC
(RPRH Law) INFORMATION
● Executive Order No. 12, s. 2017:
Attaining and Sustaining “Zero Digital Health is also known as information
Unmet Need for Modern Family and communication technology (ICT) in the
Planning” Through the Strict health system, is the field of theory and
Implementation of the Responsible practice associated with any aspect of
Parenthood and Reproductive adopting digital technologies to improve
Health Act, Providing Funds health from its conceptualization to
Therefor, and for other Purposes application or operation (WHO, 2019:
● Administrative Order 2017-0005: Ghebreyesus, 2017).
Guidelines in Achieving Desired
Family Size through Accelerated and USES OF DIGITAL HEALTH
Sustained Reduction in Unmet Need INTERVENTIONS- The ultimate objective of
for Modern Family Planning Methods digital health is to enable a health system to
● Administrative Order 2016-0005: use ICT to improve achievement of health
National Policy on the Minimum and wellness, in line with the national health
Initial Service Package (MISP) for strategies and plans as well as with the
Sexual and Reproductive Health global objectives such as Universal Health
(SRH) in Emergencies and Disasters Coverage (UHC) and Sustainable
● Administrative Order 2017-0002: Development Goals (SDGs) (Marcelo et. al,
Guidelines on the Certification of 2018; WHO, 2018)
Free Standing Family Planning
Clinics E-HEALTH NATIONAL VISION- By 2020
● Department Order 2017-0345: eHealth will enable widespread access to
Guidelines on the Forecasting, health care services, health information, and
Procurement, Allocation and securely share and exchange patients'
Distribution of Modern Family information in support to a safer, quality
Planning Commodities health care, more and responsive to health
● Administrative Order 2015-0006: systems for all the Filipino people by
Inclusion of Progestin Subdermal transforming the way information is used to
Implant as One of the Modern plan, manage, deliver and monitor health
Methods Recognized by the National services.
Family Planning Program.
STRATEGIC PHASE
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1. Standardize and connect eHealth Solutions- The required

2. Transform services and applications to enable
3. Maintain and measure widespread access to health care
EHEALTH COMPONENTS services, information, and securely
share and exchange patient's
Governance- Directs and coordinates information in support of health system
eHealth activities at all levels of the goals.
health system. Critical areas of
governance include agenda setting, CHARACTERISTICS OF GOOD
stakeholder engagement, overall QUALITY DATA
architecture, clinical safety, monitoring
and evaluation and policy oversight. ● ACCURACY
● ACCESSIBILITY
Legislation, Policy and Compliance- ● COMPREHENSIVENESS
Involves creation of the required ● CONSISTENCY AND
legislation, policies and compliance to RELIABILITY
support the attainment of the eHealth ● OPERATIONAL DEFINITION
vision. ● CURRENCY

Standards and Interoperability- ELECTRONIC MEDICAL RECORD

Promotes and enables the exchange of SYSTEM (EMRS)- are automated
health information across geographical systems that stores patient
and health sector boundaries through demographic, clinical, and
the use of common standards and administrative data.
terminologies.
UHC AND EMR USE
Strategy and Investment- This refers The UHC Law of 2019 or RA 11223 calls
to the funding support and guidance for the full adoption of information
needed to execute the strategic plan. systems which "include but are not
limited to enterprise resource planning,
Infrastructure- Establishment of human resource information systems,
necessary physical technology, software electronic medical record and electronic
platforms, services and applications to prescription logs".
support health information exchange.
CHALLENGES TO EMR
Human Resource- Refers to the IMPLEMENTATION
workforce needed to develop, operate
and maintain the national eHealth plan. 1.Double charting
2. Interference with face-to- face patient
care
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3. The perception that EMR is just a

simple replacement of the paper record
4. Managing data privacy and
confidentiality

ACRONYMS

WRA- Women of Reproductive Age (15-49)

FHSIS- Field Health Service Information
System
NHTS- National Household Targeting
System
ZOD- Zero Open Defecation
ITIS- Integrated TB Information System
LRD- Lifestyle Related Diseases
TCL- Target Client List
ITR- Individual Treatment Record
CHT- Community Health Team
IClinicSys- Integrated Clinic System
IHOMIS- Integrated Hospital Operations
and Management Information System
NaRIS- National Rabies Information System
PIDSR- Philippine Integrated Disease
Surveillance and Response