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To evaluate the use of receipt information in the strategic management of lifestyle related diseases under healthcare system reforms, we investigated the use of National Health Insurance (NHI) receipts in B City of A Prefecture.Receipt information was compiled and analyzed. The status of participation in NIH programs and status of diabetes and diabetes-related disorders was ascertained to identify target patients for diabetes management. Coexisting disorders were analyzed to identify those requiring points for management. In addition, diagnosis and treatment facilities were reviewed to identify medical institutions that should be linked in managing diabetes care, and household units were reviewed to establish directions for family health education in cooperation with medical institutions.These results indicate that use of receipt information is essential with respect to specific health check up and guidance. The analysis methodology and data in our study can be used to examine strategic management of lifestyle related diseases at the regional level.