The invention discloses a community-based smart cloud health service system. The community-based smart cloud health service system comprises a cloud server, a community service module, a domestic service module and a health management terminal, wherein the cloud server comprises a data transmission module, a data learning and classifying module, a communication module, a data storage module and a database module; the community service module is provided with a plurality of community health detection devices and a health detection center control machine which is connected to the community health detection devices and the cloud server through communications respectively; the domestic service module is provided with a plurality of domestic medical devices and a handheld operating device which is connected to the domestic medical devices and the cloud server through communications respectively; and the health management terminal is connected to the cloud server through communications. According to the system, community health care is integrated with domestic health care, life sign parameters of users can be recorded at home and in communities, and are uploaded to the cloud server for real-time analysis, health risk reports are obtained, user health statues of the community users are conveniently managed by community doctors, the health management efficiency and precision are improved, and the probability that diseases are found and involved in early periods is increased.