Should the patient sign the big medical record first or the doctor sign it first?

The doctor signed it. According to the website of the National Health Insurance Bureau. Admission medical records, also known as large medical records, are written by interns and trainee doctors and reviewed, revised and signed by medical personnel registered in this medical institution. Large medical record generally refers to all the records and summaries made by clinicians in the diagnosis and treatment plan, reflecting the whole process of the disease, including the onset, evolution, prognosis and diagnosis and treatment plan of the patient.

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