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住院病历(以下简称病历)是记载病人在住院治疗期间医疗全过程的医疗文件,它体现着医院的医疗质量、管理水平和医护人员的业务素质,同时具有法律作用。为了掌握乡镇卫生院病历书写质量的
Inpatient medical records (hereinafter referred to as medical records) are medical documents that record the entire medical process of a patient during hospitalization. It embodies the hospital’s medical quality, management level, and the professional quality of medical personnel. It also has a legal role. In order to master the quality of medical records in township hospitals