病案是医院的重要信息和档案财富,不仅是医教、科研、管理、经营的重要资料,更是发生医疗纠纷时的重要法律依据[1],是患者报销的有效凭证。随着医疗纠纷的不断增加、医疗保险制度的不断完善,病案管理及病案的服务功能越来越被重视。对病案管理人员的专业要求也越来越高。为加强 The medical record is an important information and archival wealth of the hospital. It is not only an important material for medical education, scientific research, management, and management, but also an important legal basis for medical disputes [1]. It is an effective certificate for patient reimbursement. With the continuous increase of medical disputes and the continuous improvement of the medical insurance system, the medical record management and medical record service functions are increasingly valued. The professional requirements for medical record managers are also increasing. To strengthen