目前,我国正在进行医疗体制和社会保障机制的改革,医疗法制尚不健全,医患纠纷日益增多。作为医疗保障体系之一的病历档案管理工作的重要性也日益突显。病历档案既能为临床医生积累病历资料和治病经验,又可为处理医患纠纷、进行医疗事件鉴定提供可靠的法律依据。但由于病历档案管理不同于一般 At present, the reform of the medical system and social security system is under way in our country. The medical legal system is still not perfect, and the disputes between doctors and patients are on the increase. The importance of the management of medical record files, one of the medical security systems, has also become increasingly prominent. Medical record files not only for clinicians to accumulate medical records and medical experience, but also for the treatment of medical disputes, the identification of medical events provide a reliable legal basis. However, due to the medical records management is different from the general