一、存在问题1．主要疾病诊断选择错误。由于临床医生对ICD．9主要情况的选择知之甚少，因而填写病案首页出现了不少缺陷。如“慢性乙型肝炎、原发性肝癌”，其中“原发性肝癌”应为主要诊断；两种以上疾病应遵循前后顺序的原则给出，如“高血压、高血压性心脏病”“肽骨骨折、 First, there are problems 1. The main disease diagnosis is wrong. Because of the clinician’s ICD. 9 Little is known about the choice of the main situation, so there are many flaws on the front page of the medical record. Such as “chronic hepatitis B, primary liver cancer”, which “primary liver cancer” should be the main diagnosis; two or more diseases should be given in accordance with the principle of the order, such as “high blood pressure, hypertension heart disease” " Peptide fracture,