论文部分内容阅读
根据我国卫生部颁发的《全国医院工作条例》中规定“病案是医疗、教学和科研的重要资料,也是法律的依据。”病案是以文字形式记录患者疾病的症状、体征、治疗、用药等文字表达的全过程。它不仅是医务人员医疗质量,业务水平的具体体现,也是健康体检,医疗保险,伤残鉴定及某些意外伤害、医疗纠纷的重要法依据。具有法律的效力。由于病
According to the “National Hospital Work Regulations” issued by the Ministry of Health of the People’s Republic of China, “Medical records are important data for medical treatment, teaching, and scientific research, and are also the basis of the law.” Medical records record the symptoms, signs, treatment, medication, etc. of patients with diseases in written form. The whole process of expression. It is not only a concrete embodiment of the medical staff’s medical quality and business level, but also an important legal basis for health examinations, medical insurance, disability appraisal, and certain accidental injuries and medical disputes. Has legal effect. Due to illness