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现阶段医学模式的转变以及病案法律职能的转变,使传统的病历书写模式受到了挑战,其内涵已远远超出了传统的理念。社会的进步发展,也促使病历书写内涵需要提高发展。尽管相继出台的(包括全国的、本省的、本单位的)《病历书写规范》在很大程度上规范约束医师的书写行为,一种新型?
The transformation of the medical model at this stage and the transformation of the legal functions of the medical record have made the traditional medical record writing model a challenge. Its connotation has far exceeded the traditional concept. The progressive development of society also promotes the development of medical records. Even though the “Records for Writing Medical Records” (including the national, provincial, and local units) that have been issued in succession regulate the behavior of physicians to a large extent, a new type?