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病案信息管理是医疗机构管理的重要组成部分,是依据国家及相关部门的法律法规,利用手工或现代化技术,对医疗活动中所产生的信息进行的管理工作。但迄今为止,我国还没有病案法。新中国成立以来,卫生部和国家相关部门颁布并实施了一系列与病案信息管理有关的法律法规。尤其近年来,随着医疗卫生事业的发展,卫生法制建设步入正轨,与病案信息管理相关的法律法规亦在不断更新并日臻完善,具体举措体现在以下几方面。
Medical record information management is an important part of the management of medical institutions. It is based on the laws and regulations of the state and relevant departments and uses manual or modern technology to manage the information generated in medical activities. But so far, there is no case law in our country. Since the founding of New China, the Ministry of Health and relevant state departments have promulgated and implemented a series of laws and regulations related to the management of medical record information. In recent years, with the development of medical and health undertakings, the construction of health and legal system is on track, the laws and regulations related to the management of medical record information are constantly updated and improved, and the specific measures are as follows.