Abstract: Objective: To analyze health issues and caring needs among Chinese community-dwelling elders in Beijing and to test the applicability of interRAI HC in home care of China. Methods: A convenient sampling was utilized to collect 120 community-dwelling elders in Beijing Xicheng district. InterRAI HC was used to collect data and the clinical assessment protocols were applied to analyze the health issues of elders. Health issues were then compared with the services they were provided. Results: The elders had health issues at physical, psychological, and social aspects. The average number of issues was 2 with the range of 1-5. As the elders aged (rs=0.45, P=0.03) and number of chronic illness increased (rs=0.34,P=0.04), the number of health issues were increased. The elders received higher rate (>70%) of services at the aspects of cardiorespiratory problems, pain, ADL, informal social support, and pressure ulcer.But they received lower rate (<40%)of services at the aspects of cardiorespiratory conditions, pain, ADL, informal aspect of prevention, home environment optimization, IADL, urinary incontinence, under-nutrition, and physical activity promotion. Conclusion: InterRAI HC can systemically assess the health issues among elderly and provide directions for further home care. InterRAI HC can also be utilized in the future to monitor the quality of home care for elders.