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目的保证病案首页填写的及时、准确、完整。方法通过介绍病案首页原始数据信息点的作用,使病案首页的完成者—临床医生认识到病案首页的重要作用。结果实现病案首页填写的及时、准确、完整。结论病案首页信息是实现计算机检索,高效再利用病案资源的基础,是医疗统计最基础的数据来源,了解病案首页的内容作用,使临床医生认识到病案首页的重要性,才能保证病案首页填写的完整、及时、准确,快速准确的提供信息,实现病案资源和数据的价值和作用。
Purpose to ensure that the first page of medical records to fill in a timely, accurate and complete. Methods By introducing the role of the original data information point on the first page of the medical records, the clinician, who is the finisher of the first page of the medical records, recognizes the important role of the first page of medical records. Results to achieve the first page of medical records to fill in a timely manner, accurate and complete. Conclusion The first page of medical records is the basis of computer retrieval and efficient reuse of medical records resources. It is the most basic source of data for medical statistics and understanding of the content of the first page of medical records so that clinicians can recognize the importance of the first page of medical records and ensure that the first page of medical records Complete, timely, accurate, fast and accurate information to achieve the value and role of medical records resources and data.