1, write a course record for critically ill patients at any time according to their condition changes, and have no right to change it at least 1 time every day, and the recording time should be specific to minutes.

2. For critically ill patients, the course of disease should be recorded at least once every 2 days.

3. For patients with stable condition, the course of disease should be recorded at least once every 3 days.

Extended data

The course record refers to the regular and continuous record of the diagnosis and treatment process of patients during hospitalization. Written by the attending physician.

It can also be written by interns or trainee medical staff, but it must be signed by the attending doctor. When writing the daily course record, first indicate the recording time, and write another line for the specific content.

No diagnosis or examination results as the main complaint (except asymptomatic). When there is more than one chief complaint, it can be listed in order of priority or occurrence time.