Background: Development of efficient and effective systems is one of the aims of Medical centers.Standards are criteria for evaluation of affairs and without them ,evaluation is impossible.this study was carried out to determine the extent of application of standard to Medical records department .

Materials and Methods: This is a descriptive study.and all of Kashan Hospitals are enrolled to it. Data were collected by direct observation and completion of a questionnaire about procedures and practices, equipments , environment and personels of medical recording departments of the Hospitals.Collected data were analysed with scaling.

Results: Findings showed that scale of paying attention to standards was 61%. Procedures and practices had a scale with 55/8%. Statistic unit had least scale with 53/5% and coding unit had the highest scale with 65/2%.

Conclusion: Totally ,paying attention to medical records department standards was in middle level.Lack of procedural standards was the most important defect.