According to Article 10 of the Notice on Printing and Distributing the Management Norms of Electronic Medical Records (Trial) officially issued by the National Health and Family Planning Commission, qualified medical institutions' electronic medical record systems can use electronic signatures for identity authentication, and reliable electronic signatures have the same legal effect as handwritten signatures or seals.

Electronic medical records refer to medical records that are stored, managed, transmitted and copied by using digital information such as words, symbols, charts, graphics and images generated by information systems. It is a record form of medical records, including outpatient (emergency) medical records and inpatient medical records. Therefore, medical institutions that do not have the conditions for electronic signature can do so as long as they have other documents to prove it.