Chinese Medicine Medical Record Standardized Writing Manual - (Second Edition)

Author: Wang Yongyan
Publisher:
Publish Date: 2005-01-01
Features: This manual mainly includes 3 projects: [Regulatory Requirements] Quoted excerpts from the "Basic Norms for Writing TCM and Integrated Traditional Chinese and Western Medicine Medical Records (Trial)" regarding the content, format, and writing requirements of medical records; [Examples] Demonstrates the specific application of [Regulatory Requirements] through writing examples; [Remarks] The project provides further explanations and descriptions of the concise original text of the "Basic Norms for Writing TCM and Integrated Traditional Chinese and Western Medicine Medical Records (Trial)" and related precautions, for reference only and not binding. For the parts of the "Basic Norms for Writing TCM and Integrated Traditional Chinese and Western Medicine Medical Records (Trial)" that do not have unified format requirements, the parts specifically handled by the nursing department or management department, as well as various materials related to the writing of TCM and integrated traditional Chinese and Western medicine medical records, such as the "List of TCM and Western Medicine Syndromes and Treatment Methods," "Comparison Table of TCM and Western Medicine Disease Names in Common Diseases," and "List of Common Standard Medical and Pharmaceutical Terms," are included as appendices for readers' reference when learning and implementing the "Basic Norms for Writing TCM and Integrated Traditional Chinese and Western Medicine Medical Records (Trial)." With the widespread use of computers, medical records in some large hospitals in foreign countries and China have adopted the 24-hour system. The [Examples] in this book also recommend this more scientific timekeeping method, and readers can choose accordingly. This book is closely aligned with the new "Basic Norms for Writing TCM and Integrated Traditional Chinese and Western Medicine Medical Records (Trial)" and has strong practicality and operability, making it convenient for clinical physicians to use as a reference at their desks.