论文部分内容阅读
卫生部为医疗信息的标准化,分别于1990年、2001年和2011年3次修订定了全国统一的住院病案首页。从新版的病案首页增加的内容,如:组织机构代码、入院途径、入院情况等内容可见卫生部配合深化医改的决心;从删除出院情况、“HBsAg”、“HCV-Ab”、“HIV-Ab”等项目,又可见其简化统计内容,减少主观判断的良苦用心。医疗机构填写好病案首页责无旁贷,利国、利民,也有利于医院自身信息化建设。
The Ministry of Health standardized the medical information, and revised the first page of the national unified hospitalization record in 1990, 2001 and 2011 respectively. From the first page of the new version of medical records added content, such as: organization code, admission, admission and other contents of the Ministry of Health can see with the determination to deepen the medical reform; from the deletion of discharge, “HBsAg”, “HCV-Ab” “HIV-Ab ” and other projects, but also to see its simplified statistical content, reduce subjective judgments of good intentions. Medical institutions to fill in the first case of medical records Responsibility, the country, the people, but also conducive to the construction of the hospital’s own information.