病案是医院的重要信息源,无论是医疗系统本身,还是医疗卫生的教学、科研以及社会各领域都不同程度的与病案有着直接或间接的联系。作为医疗档案的病案,它不仅客观、真实、完整地反映了病人住院期间的整个病情变化治疗、护理结果,也为社会各领域特别是政法部门提供着重要的依据 The medical record is an important source of information for the hospital. Whether it is the medical system itself, or the teaching and research of medical and health care and social fields, it has direct or indirect links with the medical record to varying degrees. As a medical record medical record, it not only objectively, truly, and completely reflects the patient’s entire illness during hospitalization, treatment, and nursing results, but also provides an important basis for all areas of society, especially the political and legal departments.