1, the important medical records are inconsistent with the facts and the contents of the records are contradictory;

2. Incomplete medical records may be hidden or destroyed;

3. The medical record has been altered, which may be forged or tampered with;

4. Not written or signed by the attending doctor or nurse;

5. There is a contradiction between the pathological section and the inspection report.

legal ground

Article 1222 of the Civil Code

If the patient is damaged in the diagnosis and treatment activities, it is presumed that the medical institution is at fault in any of the following circumstances:

(a) in violation of laws, administrative regulations, rules and other relevant medical norms;

(two) concealing or refusing to provide medical records related to the dispute;

(three) lost, forged, tampered with or illegally destroyed medical records.