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病历档案首页是一份病历档案的总结,它涵盖了病人的基本情况及病人接受治疗的疾病诊治、手术等医疗信息。病历档案首页除用于医院诊治、科研和管理外,还用于医保、司法鉴定等方面。为了进一步提高医疗机构科学化、规范化、精细化、信息化管理水平,加强医疗质量管理,卫生部20多年来对病历档案首页进行了3次修改,不断完善病历档案管理,要求从2012年1月起使用第3次新修订的病历档案首页(以下称“新版
The first page of the medical record is a summary of the medical record, which covers the basic information of the patient and medical information such as the diagnosis and treatment of the disease to be treated by the patient. In addition to medical records home page for hospital diagnosis and treatment, research and management, but also for health insurance, forensic and other aspects. In order to further improve the scientificalness, standardization, refinement and informatization management level of medical institutions and strengthen medical quality management, the Ministry of Health has revised the first page of medical record files three times over the past 20 years to continuously improve the management of medical record files and require that from January 2012 We use the third newly revised medical records homepage (we say ”new version