病案首页既是病案的窗口,也是病案的精髓。其100多个填写项目涵盖了病案的方方面面,是病案信息最集中、最重要、最核心的部分。首页的质量不仅直接体现出医院的管理水平和医疗技术水平,而且病案首页中国际疾病分类的质量更直接影响着国家医疗卫生统计、疾病预防预测的真实性和 The medical record is not only the window of the medical record but also the essence of the medical record. Its more than 100 completed projects cover all aspects of the medical record, and it is the most centralized, most important, and most central part of the medical record information. The quality of the homepage not only directly reflects the hospital’s management level and medical technology level, but also the quality of the international disease classification in the top page of the medical record directly affects the national health statistics and the accuracy of disease prevention prediction.