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2014年1月1日,由国家卫计委和国家中医药管理局联合出台的新版《医疗机构病历管理规定》(以下简称“《规定》”)正式实施。修订后的《规定》完善了以下内容:增加了《规定》的适用范围,明确了医疗机构内管理病历质量的部门,增加了病历书写、排序及病案装订等有关要求,明确了化验结果归入或录入门(急)诊病历的要求,规定了借阅病历的具
On January 1, 2014, a new version of the “Regulations on the Management of Medical Records of Medical Institutions” (hereinafter referred to as the “Regulations”) jointly implemented by the State Health Planning Commission and the State Administration of Traditional Chinese Medicine was officially implemented. The revised “Provisions” have perfected the following contents: added the scope of application of the Provisions, clarified the departments that manage the quality of the medical records in the medical institutions, added the requirements of medical records writing, sorting and medical record binding, Or enter the door (emergency) medical records requirements, provides for borrowing medical records