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病历是具有法律效应的医疗文件,是病人住院期间医疗护理活动的真实记录,也是病人疾病发生、发展、康复或死亡全过程的重要档案资料。随着医疗法制的不断完善和社区家庭病床业务的蓬勃开展,做好社区家庭病床病历的规范管理,提高社区家庭病床病案质量是社区医护工作者的一项重要?
A medical record is a medical document with legal effects. It is a true record of a patient’s medical care during hospitalization and is an important file for the entire course of a patient’s illness, development, recovery, or death. With the continuous improvement of the medical legal system and the vigorous development of family family beds, it is an important part of community health care workers to do a good job in the standard management of medical records in community family beds and improve the quality of medical records in family beds.