病历是医疗、教学、科研、卫生保健等各项工作不可缺少的重要资料。就其意义来说可归结为三点:①记载病志对医疗业务的意义。它是疾病诊断根据,是治疗经过的医学证据,是计算医疗费用的基础。②记载病志的医学意义。由于在病志上记录着患者现在病情、治疗及其转归 Medical records are indispensable important information for medical, teaching, scientific research, health care and other work. In its meaning, it can be attributed to three points: 1 record the meaning of illness in medical services. It is the basis of disease diagnosis, medical evidence for treatment, and the basis for calculating medical expenses. 2 records the medical significance of disease records. As the patient’s illness, treatment, and outcome are recorded