Legal basis: the basic standard of medical record writing
Article 7 When typos appear in the process of writing medical records, they shall be marked with double lines, and the original records shall be kept clear and readable, with the time of revision indicated and signed by the reviser. Scraping, gluing, painting and other methods shall not be used to cover up or remove the original handwriting. The superior medical staff has the responsibility to review and modify the medical records written by the lower medical staff.
Eighth medical records should be written in accordance with the provisions, and signed by the corresponding medical personnel. The medical records written by medical practitioners and interns shall be reviewed, revised and signed by medical personnel registered in this medical institution. Medical institutions shall, according to their own actual situation, write medical records after confirming that medical personnel are competent for their professional work.
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