Medical records are only records of the patient's medical history, and this is just a record of the patient's medical history. It should be based on the diagnosis certificate issued by the medical institution as the theoretical basis. The contents of the two are different, so there is no need to take the required courses. The diagnosis should be used as the basis for determining the facts.

First, the medical records provided by the applicant cannot replace the diagnostic certificate that should be issued by the medical institution. In practice, claims are based on post-injury diagnosis certificates issued by medical institutions rather than ordinary medical records.

The second diagnosis certificate refers to a medical document with certain legal validity issued by a medical unit. It is one of the important basis for judicial appraisal, retirement due to illness, disability appraisal, insurance claim, etc. General medical records refer to the sum of text, symbols, charts, images, slices and other data generated by medical staff during medical activities.

Third, if there is any inconsistency between the general medical record and the diagnosis certificate, the diagnosis certificate shall apply. General medical records are formed by medical staff in the process of medical interaction. Due to the constraints of the patient's physical condition, medical equipment, professional level of medical staff, treatment process and other factors, not only the medical records of the same patient in different medical institutions may be different, but also the medical records of the same patient may be different. The medical records of patients at different times in the same medical institution may also be different. Therefore, inconsistencies between general medical records and diagnostic certificates are inevitable in practice. Both diagnostic certificates and general medical records are documentary evidence, but from the perspective of the form of evidence, diagnostic certificates are issued by medical and health institutions, while general medical records are issued with the personal signature of medical personnel. The former has better probative power than the latter.

Fourth, neither the diagnosis certificate nor the general medical record is the only basis. In addition to the diagnosis certificate, other evidence must also be combined. Only the evidence forms a relatively complete chain of evidence, which is regarded as serving the purpose of investigation and confirmation of relevant facts. The final basis for determining the facts is evidence and logical reasoning, and the allocation of the burden of proof alone cannot solve the problem of determination. A matter of fact in the book.