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1 军队各级医院病案首页计算机管理现状 2 军队医院病案首页计算机管理存在的问题 2.1 首页数据填写不全:①临床医师不重视病案首页的填写,管理部门把关不严。②病案的书写制度还没有在临床工作中得到很好落实。③病案管理工作还未走上正规化、标准化、程序化的轨道。
1 military hospital medical records at all levels Home computer management status quo 2 military hospital medical records Home computer management problems 2.1 Home data incomplete: ① clinicians do not pay attention to the first page of medical records, management departments lax. ② the medical record writing system has not been well implemented in clinical work. ③ medical record management has not yet embarked on formalization, standardization, procedural orbit.