(1) The applicant applies and submits relevant supporting materials. If the patient himself or his agent applies, they should provide their valid identity certificate and relationship certificate; if the applicant is an insurance institution, they should provide a copy of the insurance contract. pieces.
(2) Review the application and provide a copy. After the application is accepted, the medical records should be provided after the medical staff completes them within the prescribed time limit. After a medical institution accepts an application for copying or duplicating medical records, the department or ward responsible for monitoring the quality of medical services or the full-time personnel responsible for the storage of outpatient (emergency) medical records shall be responsible. Extended information
A large amount of medical record data analysis can objectively reflect the hospital's working conditions, technical quality, medical quality, management measures, medical ethics and medical practices and other hospital management levels. Much of the material in medical records is an important indicator of national health statistics.
Therefore, checking and analyzing medical records to find and solve problems is one of the important means to understand the working status of the hospital and improve the quality of medical care. It is also an important measure to strengthen hospital management and improve the level of hospital management.
Through the classification statistics and analysis of medical records, we can understand the implementation of the "three-level prevention" principle by clinical medical staff, the implementation of measures to prevent disease and disability, and the occurrence and development of various common and frequently-occurring diseases. , provide a basis for controlling and implementing preventive measures and implementing the prevention-oriented policy. Medical records are the legal basis for handling medical accidents and medical disputes.
Therefore, medical records are legal to effectively protect patients and medical staff
Baidu Encyclopedia - Medical Record Copy