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新形势下“主诉”难写的问题及对策 被引量:5

Currently the chief complaint of the medical record existent problem and countermeasures
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摘要 对主诉难写的6个问题提出了解决的办法。在新形势下,没有一位专家能写出所有疾病的主诉范本,只有不断完善主诉书写定义,才能使临床医师主诉书写有标准可依,解决主诉难写的问题。 The authorputs forward 6 problems of the chief complaint of the medical record with writing, carrying on the thorough discussion to these problems, and finding out the problem - solving method. Under the new situation, an expert can not write an all the chief the complaint the sample copy, only if the chief complaint to write the definition continuously perfect when can make clinical the doctor's the chief complaint to write to have a standard earl depend on, writing the good the chief complaint.
作者 刘晋才
出处 《中国病案》 2007年第10期23-24,共2页 Chinese Medical Record
关键词 病历 主诉 定义 问题 对策 the medical record the chief complaint the definition problem countermeasures
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