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在医院的住院病案统计工作中,第一手的原始资料都是在病案首页和病案卡中所得的。它记载了住院病人在住院期间的基本情况,正确填写病案首页与病案卡是收集住院病人治疗过程各项指标的重要手段。而病案卡的填写正确与否,直接影响到统计报表的准确性。在实践过程中,病案首页与病案卡核对进行微机录入工作中,我们发现相当一部分
In the hospital’s inpatient medical record work, the first-hand source data were obtained from the medical record home page and the medical record card. It records the basic conditions of in-patients during hospitalization. The correct completion of the case home page and medical record card is an important means of collecting in-patient treatment indicators. The correct filling of the medical record card directly affects the accuracy of the statistical report. In the course of practice, the first page of the medical record case and the medical record card check were used for computer input. We found a considerable portion of it.