Health check guide · Japan

Japanese Health Check Results in English: Reading the Sheet

Need your Japanese health check results in English? This guide shows how a Japanese or result sheet is laid out, what the common headings say, and how to get the sheet translated for a doctor at home or in Japan. It does not explain what any result means. Only a doctor can do that.

Sources reviewed 14 October 2026 Updated 14 October 2026 ~7 min read Sources: MHLW · Japan Society of Ningen Dock

Quick answer

A Japanese health check result sheet usually has four parts: your details and the test date, an overall judgement (), a table of tests with your result, the reference range () and a judgement grade (), and the doctor's comments. Many facilities grade results A to E, but the key is printed on your own sheet. To get your results in English, ask the facility whether it issues an English report, or have the Japanese sheet translated. Ask a doctor what any result means for you.

Need the sheet in English for your doctor? We translate Japanese health check and ningen dock results, with every translation validated by a person.

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On this page
  1. Which health check is on your sheet
  2. How the result sheet is laid out
  3. Common Japanese headings
  4. Judgement grades (判定区分)
  5. Reference ranges and H/L marks
  6. Getting your results in English
  7. FAQ
  8. Related guides
  9. Official sources
Japanese health check results in English: the four main sections of a typical Japanese result sheet
A typical Japanese result sheet layout. Your facility's sheet may look different, so check its own legend.

Which health check is on your sheet?

Japan has several kinds of health check, and the name at the top of the sheet tells you which one you had. Knowing this helps you, and your translator, understand why certain tests are included.

Through work

Regular health check

Employers must arrange a checkup by a doctor for regularly employed workers once within each one-year period, under the Industrial Safety and Health Act.

Ages 40–74

Specific health check

Run by your health insurer (employee insurance or National Health Insurance) for insured people and dependants aged 40 to 74, with a focus on metabolic syndrome.

Voluntary

Ningen dock

A more comprehensive check you book yourself, sometimes with support from an employer or insurer. The tests included depend on the course you choose.

For how these checks are booked and what happens on the day, see our guide on how to get a medical check (teiki kenshin) in Japan.

How a Japanese health check result sheet is laid out

Layouts differ between hospitals, clinics and health check centres, but most result sheets ( or ) follow a similar pattern. Find these four parts first.

  1. Your details and the test dateName, date of birth, ID or insurance number and the date of the check (, ). Check these are yours before anything else.
  2. Overall judgement and findingsA summary box (, ) near the top, often with the doctor's main comments.
  3. The results tableOne row per test (), grouped by area such as body measurements, blood pressure, blood tests or urine tests, with columns for your result (), the reference range () and a grade (). Many sheets show previous years side by side.
  4. Comments and the key to the gradesThe doctor's comments () and an explanation of the grading system (), often at the bottom or on the back page.
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Keep every page together, including the back pages and any separate imaging or ECG reports. The key to the grades is often on a different page from the results.

Common Japanese headings on health check results

The table below gives a word-for-word English label for headings you will often see. These are translations of the words, not explanations of any result.

JapaneseReadingLiteral English
判定hanteiJudgement, grade
総合判定sōgō hanteiOverall judgement
基準値kijunchiReference range (reference value)
今回 / 前回konkai / zenkaiThis time / last time
所見shokenFindings
異常なしijō nashiNo abnormality
経過観察keika kansatsuFollow-up observation
要再検査yō saikensaRe-test advised
要精密検査yō seimitsu kensaFurther detailed examination advised
要治療yō chiryōTreatment advised
治療中chiryō-chūCurrently under treatment

The prefix (yō) means required or advised. When it appears on your sheet, the facility is telling you to take a further step. Ask a doctor what that step is for you.

Judgement grades (判定区分) on Japanese results

Many facilities grade each result with a letter. The Japan Society of Ningen Dock publishes a widely used set of categories, revised from April 2018:

GradeJapanese labelLiteral English
A異常なしNo abnormality
B軽度異常だが問題なしMild abnormality, no problem
C要経過観察・要再検査Follow-up observation or re-test advised
D要精密検査・要治療Further examination or treatment advised
E治療中Under treatment for that item
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Your facility may use a different system. Some split grades further, use numbers, or word them differently. Always read the key printed on your own sheet, and ask the facility or your doctor what your grades mean for you.

Common Japanese health check result headings with readings and literal English labels
Word-for-word labels for headings on Japanese health check results. Ask a doctor what any result means.

Reference ranges and H/L marks

The column shows the reference range the facility uses for each test. Ranges can differ between facilities and laboratories, and some depend on sex or age, so compare your result only with the range printed on your own sheet.

Many sheets mark results outside the range with H (high) or L (low), an asterisk, or coloured text. The legend on the sheet explains the marks it uses. A mark tells you where a value sits against the range; it does not tell you what that means for your health. That is a question for your doctor.

How to get Japanese health check results in English

There are two main routes, and many people use both.

  • Ask the facility firstSome health check centres and hospitals can issue an English report, sometimes for an extra fee. Ask when you book, because it can be harder to arrange afterwards.
  • Have the Japanese sheet translatedIf you have only the Japanese version, a medical translation gives you and your doctor an English version that follows the original layout, including the grades, reference ranges and comments.

If your doctor is overseas

A doctor at home may want to compare your Japanese results with earlier tests. Send the whole sheet for translation, including the key to the grades and all comments, so nothing is read out of context. Units and reference ranges should be translated as printed, not converted, so your doctor sees exactly what the Japanese facility reported.

If you need follow-up in Japan

If your sheet says or , the facility is advising a further step. Bring the original sheet to the follow-up appointment. You may be given a referral letter, which our guide on referral letters (shokaijo) explains. If you are worried about understanding the doctor, a medical interpreter reduces the risk of misunderstanding during the consultation.

What to send for a translation quote

  • A clear scan or photo of every page, including the back pages and the grade key.
  • Any separate reports, such as imaging, ECG or endoscopy reports, if you want them included.
  • Who the translation is for (for example, your doctor overseas or an insurer) and any deadline.

Translating a sheet is different from explaining it. A translator renders what the Japanese facility wrote; it is your doctor who explains what it means. See medical records translation in Japan for how this works for other documents.

Medical translation

Get your Japanese health check results in English

MedicTranslate translates Japanese health check and ningen dock result sheets into English for you and your doctor, keeping the original layout, grades, reference ranges and comments.

  • Human-validated medical translation
  • Standard delivery from 72 hours
  • Layout, grades and comments kept as printed
  • Interpreters for follow-up appointments

Price confirmed before work begins. Reply within 1–3 business days. We translate; we do not interpret results or give medical advice.

Frequently asked questions

Can I get my Japanese health check results in English?

Some health check centres and hospitals can issue an English report, so ask when you book. If you only have the Japanese sheet, you can have it translated into English for yourself and your doctor.

What does 判定 mean on a Japanese health check?

判定 (hantei) means judgement or grade. Many facilities grade each result with a letter, such as A to E, and print the key to the grades on the sheet. Ask your doctor what your grades mean for you.

What does 要精密検査 mean?

要精密検査 (yō seimitsu kensa) literally means further detailed examination advised. It shows the facility is recommending a further step. Only a doctor can explain why it appears on your sheet and what to do next.

What do H and L mean next to a result?

On many sheets, H and L mark values above or below the facility's reference range (基準値). Check the legend on your sheet, and ask a doctor what any marked value means for you.

Will MedicTranslate explain what my results mean?

No. We translate the sheet so that you and your doctor can read it in English. We do not interpret results or give medical advice.

What should I send for a translation quote?

Send a clear scan or photo of every page, including the grade key, the doctor's comments and any separate reports, and tell us who the translation is for and when you need it.

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General information only. This article explains published Japanese rules as we understood them on the date shown. It is not medical, legal or regulatory advice, and rules can change without notice. Before you travel or act, confirm your situation with the official source, such as the Ministry of Health, Labour and Welfare, the Narcotics Control Department or Japan Customs, and with your doctor or pharmacist. Japanese authorities make the final decision. If you spot an error, please tell us.