On the Medical Record Information Management.docVIP

 PAGE \* MERGEFORMAT 6 On the Medical Record Information Management Medical file is the process of the patient for treatment by medical personnel of a system of their disease, treatment records, it is the patient in the hospital for treatment during the formation of all the medical records, including diagnosis and treatment of text, graphics, laboratory tests and other special inspections reports and other information. Medical records are not only recorded in the patient treatment, hospitalization during the diagnostic process condition changes and the original data, but also evaluate and measure the hospital management, medical instruments and skill levels of the important basis. With the constant improvement of national legal systems, medical record information as a legal basis for the opportunity to more and more, it has been extensively been used in scientific research, teaching, health management, medical management, and social counseling, etc., is an important information resources, is a precious treasure of the hospital. A full understanding of the role of Medical Record Information Management The hospital medical record information is an important part of the file information, it is the modern basis for the work proper functioning of the hospital, with the countries, ‘medical treatment regulations’ promulgation of the medical record work has attracted universal attention at all levels of various types of hospitals, case management has The original pure service-oriented to the academic type, business type, social service type. 1.1 The medical file is a hospital management information base. Medical records documented the situation of each patient’s disease, treatment methods and results are all the original records of clinical practice, but also an important hospital management information is to carry out scientific management and physicians an important basis for evaluation, but also the hospital medical business statistics One of the main raw data.