The children's health record and certificates have had a makeover since Wednesday January 1, 2025. New sections, updated information, digital tools: these changes aim to “better support families and professionals in medical follow-up”. Discover the latest version in this article.
After years of recommendations and developments in the field of health, it is the turn of children's health records to change. Since Wednesday January 1, 2025, it has had a makeover to “better support for families and professionals”with updated sections, updated information and digital tools adapted to current needs.
In order to take into account the new recommendations of the High Council of Public Health (HCSP), the expectations of health professionals and families, new models of the child's health record and health certificates came into force from from January 1, 2025.
The new child health record is divided into four main parts:
Neonatal period
- Integration of the Apgar score at 10 minutes after birth.
- Mandatory mention in the event of parental refusal for neonatal screening.
Advice for parents and adolescents
Updating messages for parents to reflect scientific and societal advances, particularly on:
- Education without violence (pages 12-13).
- The introduction of foods (pages 14-18).
- Sleep (page 19).
- Neurodevelopmental disorders (page 22).
- The use of screens (page 24).
These messages have been revised to better meet the needs of families.
Medical monitoring
- Details of the 20 compulsory health examinations, including a new examination at 6 years old.
- Inclusion of grids for identifying neurodevelopmental disorders for examinations from 5 months to 6 years.
Added related questions:
- When using screens (from 3 months).
- Physical activity (from 2 years old).
- Identifying endometriosis and psycho-affective state in adolescence.
- Updated prevention messages on sleeping position, unexpected infant death, shaken baby syndrome, and the risks of postpartum depression.
For Health Insurance, these modifications are crucial for the monitoring of children:
From now on, for each age, a section is dedicated to benchmarks allowing parents to situate their child in their development (social, cognitive, motor). Prevention messages are associated with it to warn of specific risks, such as postpartum depression or parent-child interactions.
Section intended for healthcare professionals
- Enhanced information on screening for visual disorders and neurodevelopment (pages 112-113).
- Implementation of a QR code to access the contact details of the coordination and orientation platforms (PCO).
- Updating pages on vaccinations, including the latest obligations and recommendations.
The two double pages devoted to vaccinations have been updated and reorganized to better reflect the new vaccination obligations. As before, these Cerfa approved pages continue to serve as a certificate for admission to the community.
Examinations at 8 days, 8 months and 23 months continue to result in a health certificate, essential for epidemiological monitoring and support for families.
New features include:
- Simplification of filling with removal of redundant items.
- The printing of certificates by departmental councils and their direct inclusion in the health record.
- Work in progress for future dematerialization via the Digital Health Delegation (DNS).
Health Insurance reminds “the importance of these certificates for quality monitoring”.
The 3 health certificates are essential, on the one hand, for the epidemiological monitoring of the health of children in their department by the maternal and child protection services (PMI), and, on the other hand, to allow national statistical monitoring essential.
These advances strengthen the effectiveness of medical monitoring of children, while facilitating coordination between families and health professionals. They also lay the foundations for essential digital modernization for the future.
Also read: Housing, retirement, meal vouchers, tobacco… what changes from January 1, 2025 in Martinique
