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病案是医务人员通过其专业知识为病人所记录的文字材料,是病人的健康档案。病案也是国家档案的组成部分,属业务技术类科技档案,故要求各单位按照集中统一管理技术档案的基本原则,建立、健全科技档案工作,达到完整、准确、系统、安全和有效利用的目的。当前从全国范围来看,各地医院的住院病案基本上都能按要求由院方集中管理,统一利
The medical record is the written material recorded by the medical staff through their professional knowledge and is the patient’s health record. The medical record is also an integral part of the national archives. It belongs to the technical and technological archives of business technology. Therefore, all units are required to establish and improve scientific and technological archives in accordance with the basic principles of centralized management of technical archives, so as to achieve complete, accurate, systematic, safe and effective use. At present, from a nationwide perspective, inpatient medical cases in various hospitals can be managed centrally by the hospital as required.