术后首次病程的要求法律问题-医疗事故法律援助-法律咨询免费平台-国际律师联盟

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问题	术后首次病程的要求法律问题
释义	法律分析: 术后首次病程记录是指参加手术的医师在患者术后即时完成的病程记录。内容包括手术时间、术中诊断、麻醉方式、手术方式、手术简要经过、术后处理措施、术后应当特别注意观察的事项等。法律依据: 《病历书写基本规范》第三条第十八款诊疗计划：提出具体的检查及治疗措施安排。 (十八)术后首次病程记录是指参加手术的医师在患者术后即时完成的病程记录。内容包括手术时间、术中诊断、麻醉方式、手术方式、手术简要经过、术后处理措施、术后应当特别注意观察的事项等。
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