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法律与病案管理息息相关,法律的影子投射在以下几方面病案管理中。1病案的书写质量质量是一种产品或一项服务工作的预定要求。病案质量包括病案书写质量和病案管理质量。病案的内容作为维护法律凭证的诚信度和严肃性因此项目应填写翔实、完整病史采集应准确完整,查体记录应具体
Law and medical records management is closely related to the shadow of the law projected in the following aspects of medical records management. Quality of a written record of a medical record is a predetermined requirement of a product or a service. The quality of the medical record includes the quality of medical record writing and the quality of medical record management. The contents of the medical records as a law of evidence to maintain the integrity and seriousness Therefore, the project should be filled in full and accurate, complete collection of medical history should be accurate and complete, physical examination records should be specific