Legal analysis: If the time written in the medical record is wrong, it can be corrected, and it can be modified by the doctor in charge. In addition, doctors have no right to make unauthorized changes. Especially the medical records of emergency patients, difficult diseases and surgical patients must be kept in their original condition for future reference and verification when continuing treatment or transferring to another hospital. In particular, materials that may lead to conflicts between doctors and patients must be kept original. Relevant laws also stipulate that when correcting typos, double lines must be drawn on the typos, and methods such as scraping, sticking, and painting may not be used to cover up or remove the original writing. It can be seen that modifying medical records is allowed. Legal basis: Article 7 of the "Basic Standards for Writing Medical Records" When a typo occurs during the writing process of the medical record, the typo should be marked with a double line, the original record should be kept clear and legible, and the time of modification should be noted and the signature of the person who modified it should be noted. Do not use scraping, sticking, painting or other methods to cover up or remove the original writing. Superior medical staff have the responsibility to review and modify medical records written by subordinate medical staff. Article 8 Medical records shall be written in accordance with the prescribed contents and signed by the corresponding medical personnel. Medical records written by intern medical personnel and probationary medical personnel must be reviewed, modified and signed by medical personnel registered in the medical institution. Medical personnel who are in training shall write medical records after being determined by the medical institution based on their actual ability to work in this profession.

Legal Basis

Article 8 of the "Basic Standards for Writing Medical Records" Medical records should be written in accordance with the prescribed content and signed by the corresponding medical personnel.

Medical records written by intern medical staff and probationary medical staff must be reviewed, modified and signed by medical staff registered in the medical institution.

Training medical personnel will write medical records after being determined by the medical institution based on their actual competence in the professional work. Article 13: Outpatient (emergency) medical records are divided into initial medical records and follow-up medical records.

The written content of the initial medical record should include the time of visit, department, chief complaint, current history, past history, positive signs, necessary negative signs and auxiliary examination results, diagnosis and treatment opinions, and physician signature, etc.

The written content of the follow-up medical record should include the time of visit, department, chief complaint, medical history, necessary physical examination and auxiliary examination results, diagnosis, treatment opinions and physician's signature, etc.

The time of consultation should be written down to the minute in emergency medical records.