医院病历档案是医务人员对病人诊疗过程的全程真实记录,它是临床医学实践的宝贵信息资源,是进行医学研究、提高医疗质量的重要依据,也是处理医疗纠纷、法律诉讼等的原始凭证。做好医院病历档案的开发利用工作意义重大,影响深远,不可忽视。但以往由于对医院病历档案开发利用重视不够,只局限于医院病历档案的被动开发利用,不主动提供利用医院病历档案,也就失去了保存医院病历档案的价值。因此,要充分挖掘医院病历档案,把病历档案原始记录转化为活 Medical records of medical records are the true records of medical staff during the whole process of medical diagnosis and treatment. It is a valuable information resource in clinical practice. It is an important basis for conducting medical research and improving the quality of medical treatment. It is also the original evidence for handling medical disputes and lawsuits. Doing a good job in the development and utilization of hospital medical record files is of great significance and can have a profound impact. It can not be ignored. In the past, however, due to insufficient attention to the development and utilization of hospital medical record files, it was confined to the passive development and utilization of hospital medical records, and did not take the initiative to provide use of medical records of the hospital, nor saved the value of hospital medical records. Therefore, it is necessary to fully tap the medical records of the hospital to turn the original records of the medical records into living documents