病案是记录疾病发生、发展及转归的过程,是病人在住院期间的全部医疗档案,是医院各临床科室、医技科室诊断治疗病人的基础资料,是医、教、研的重要资料。是医院的宝贵财富。随着社会的发展,医疗体制的改革,病人就诊后,病案资料成为病人及家属向单位、集体或社会保险公司等部门 The medical record is the process of recording the occurrence, development, and prognosis of the disease. It is the entire medical file of the patient during the hospitalization, and is the basic data for the diagnosis and treatment of patients in the clinical departments and medical technical departments of the hospital. It is an important data for medical, teaching, and research. It is a valuable asset of the hospital. With the development of society and the reform of the medical system, after the patient visits, the medical record becomes patient and family members to units, collectives, or social insurance companies.