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病案的内涵是指病案的具体内容以及内容之间的逻辑性和艺术性。一份完美的病案,应该有丰富的内涵,对医务人员来讲应是一部完好的作品,它不仅仅是对病人疾病的演变转归及整个治疗过程的记载,还要求每一具体变化之间有良好的连续性,并符合逻辑和自然规律,其语言表达是准确无误并有一定的艺术性的。 在医院医疗管理中。病案管理是一项重要工作,而病案书写管理乃是一项中心工作。在现实病案书写管理中,多停留在书写的格式、内容的项目上,只
The connotation of the medical record refers to the specific content of the medical record and the logic and artistry between the contents. A perfect medical record should have rich connotations. It should be a sound work for medical personnel. It not only records the evolution of the patient’s disease and the entire course of treatment, but also requires every concrete change. There is good continuity between the two, and it is in accordance with the laws of logic and nature. Its language expression is accurate and has a certain degree of artistry. In hospital medical management. Case management is an important task. The management of medical records is a central task. In the writing management of actual medical records, most of them stay in the written format and content items.