2002年4月4日国务院令第351号公布《医疗事故处理条例》,自2002年9月1日起施行,条例第二章第十条“患者有权复印或复制住院病历”,体现了病案的客观性、严肃性,和作为法律依据特征的重要性。所以一份完整的病案是病人在院过程的真实体现,是医疗工作最终产品。我院从2001年开始 On April 4, 2002, the State Council Order No. 351 promulgated the Regulations on the Handling of Medical Accidents, which came into effect on September 1, 2002. Article 10 of the Regulations states that “patients have the right to copy or copy inpatient medical records”, reflecting the medical record. The importance of objectivity, seriousness, and characteristics as a legal basis. Therefore, a complete medical record is the true embodiment of the patient’s hospital process and is the final product of medical work. Our institute began in 2001