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病历档案是档案家族中的一员,是治疗疾病医疗文书。随着人们保险意识、参加医疗统筹等法制观念的加强,人们利用法律武器来保护自身利益也越来越广泛。病历不仅仅在医院、教学、科研等方面应用,越来越多的病案面向公、检、法、保险公司、医疗统筹、面向社会开放。这就要求病案管理人员,在保存病案的同时,加强法制意识,严把病案借阅关。
The medical record file is a member of the archive family and is a medical document for the treatment of diseases. With the strengthening of people’s awareness of insurance and participation in the legal concept of medical co-ordination, it has become increasingly common for people to use legal weapons to protect their own interests. Medical records are not only used in hospitals, teaching, scientific research, etc. More and more medical records are open to public, prosecutors, law, insurance companies, medical coordinators, and open to the public. This requires the medical record management personnel to strengthen the awareness of the legal system while strictly maintaining the medical records and strictly control the borrowing of medical records.