No. Operation records and ordinary disease course records are very different and cannot be offset. Invasive diagnosis and treatment operation records refer to records of various diagnostic and therapeutic operations (such as thoracentesis, abdominal puncture, etc.) performed during clinical diagnosis and treatment activities. It should be written immediately after the operation is completed. The content includes the name of the operation, operation time, operation steps, results and the general condition of the patient, recording whether the process went smoothly and whether there were any adverse reactions, postoperative precautions and whether they were explained to the patient, and the signature of the operating physician. Course record refers to the continuous record of the patient's condition and diagnosis and treatment process after the admission record. The content includes changes in the patient's condition, important auxiliary examination results and clinical significance.