1) Medical record
病历
1.
The Concept of Time in Medical Record Should be Attached Importance
应重视病历书写中的时间概念
2.
Construction of computerization storage system for hospital medical record
医院病历电子化存储系统的构建
3.
Objective To explore the problems in medical records, The author summed up 2007,156225 discharged medical records from January 2002 to January 2007 and 50035 of inpatients and explored, categorized and analyzed the problems existed.
为探讨目前病历书写主要存在的问题,对我院2002年1月~2007年1月份出院病案156,225份、在院病历50,035份的检查情况进行总结,将存在的问题进行归类和分析,探讨问题的对策,针对问题进行管理,旨在不断改进病历的内涵质量,减少不必要的医疗纠纷。
2) medical records
病历
1.
A Study on the Comprehensive Evaluation of Clinical Departments with the Completion Performance of Hospital Medical Records
试将出院病历完成时效指标引入临床科室绩效综合评价的探讨
2.
The method of improving the medical records management system for single photon emission computed tomography (SPECT) is discussed.
讨论了单光子发射断层显像 ( SPECT)病历管理软件进一步改进的方法 ,为用户提供了多种辅助输入工具 ,极大地方便了患者病历的建立和医师给出诊断结论 ,实现了用户分级管理、运行历史记录、打印病历等功
3.
Each part of Medical records should be imbued with the characteristics of medical ethics.
真实完整的病历标志着医务人员的专业水平和道德伦理精神。
3) case history
病历
1.
The author reported the promotion of execution paper of computer-based medical order using computer-based medical order processing system, laying stress on actual contents, operational procedure of computer, actual executive methods, storage of case history as well as its advantages in clinical practice.
笔者介绍了利用电脑医嘱处理系统的优势对医嘱执行单的设计进行了改进,重点阐述了电脑医嘱执行单的具体内容、电脑操作程序、具体实施办法、病历保存方法,临床实践显示出明显的优越性。
4) Medical file
病历病案
1.
Medical file information is a key component of hospital records management.
病案信息是医院病案管理工作中的重要组成部分,病历病案是医院医疗诊治过程中,所形成的重要文字记载,记录着患者整个诊疗病程,隶属永久保存病案材料。
5) catamnesis,follow-up
病后病历
6) dossier
[英]['dɔsieɪ] [美]['dɔsɪ'e]
病历夹，病历表册
补充资料：病历
1.医疗部门记载病情﹑诊断和处理方法的记录。每个病人一份。
说明：补充资料仅用于学习参考，请勿用于其它任何用途。
参考词条