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Introduction: Grenoble's regional education authority must provide pupils with medical and screening visits so as to detect health issues or care deficiencies early. The 12th year health check-up for pupils is therefore compulsory. We wanted to offer a standardized tool, the Obi-12, in order to guide that assessment. There were 2 objectives: to create an academic representative overview of the health status of twelve year old students and to implement a field diagnosis on the local scale., Method: The Obi-12 was proposed to all middle schools of the Academy. A detailed description of the obtained answers were completed and compared to national data. A statistical analysis (ACM and ACH) was conducted., Results: In total, 2977 assessments were returned (9% of the Academy). The students checked by Obi-12 are in better health, smoke less, have less uncured dental cavities and have more often a normal weight compared to national data. A hierarchical ascendant classification enabled to set 6 patterns in children, of whom some presented an accumulation of unfavorable social-medical characteristics., Conclusion: The renewal of Obi-12 will contribute to pupil's health diagnosis at different scales and will enable a follow-up of that pupil's health status. That local knowledge will help to determine vulnerable groups in order to prioritize actions as part of the Educational Health Trajectory.