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病案是记录病人健康状况和在疾病发生、发展、诊疗过程中形成的,具有参考、利用价值并按照一定要求集中保管的各种诊疗资料。病案管理是现代医院管理的一个组成部分。我国的病案管理起步较晚,发展缓慢。在改革开放以前,病案室不过是医院职能部门的附属科室,在管理队伍中,
Medical record is a record of the patient’s health and disease in the development, diagnosis and treatment process formed with a reference, the use of value and in accordance with certain requirements of a variety of clinical data storage. Medical record management is an integral part of modern hospital management. The medical record management in our country started late and developed slowly. Before the reform and opening up, the medical record room was only an affiliated department of the hospital’s functional departments. In the management team,