1, hospital medical records, hospital custody time shall not be less than 30 years, lost or damaged by the hospital;
2, the establishment of outpatient medical records in the hospital, hospital custody time shall not be less than 15 years;
3. The outpatient medical records kept by patients, including laboratory tests, checklists and registered ticket stubs, must be properly kept by these patients.
According to the laws of China, patients have the right to copy or duplicate their outpatient medical records, hospitalization records, temperature lists, doctor's orders and laboratory results.
If a patient copies or duplicates medical records in accordance with regulations, the medical institution shall provide copying or duplicating services, and affix the certification mark on the copied or duplicated medical records. When copying or duplicating medical records, patients should be present. The management of hospital medical records has legal provisions, which should be kept in the hospital and provide access services.
laws and regulations
Regulations on the handling of medical accidents
Thirty-first expert appraisal group shall, on the basis of clear facts and conclusive evidence, comprehensively analyze the patient's condition and individual differences, make an appraisal conclusion and make a technical appraisal of medical accidents. The appraisal conclusion is passed by more than half of the members of the expert appraisal group. The appraisal process shall be truthfully recorded.
The technical appraisal of medical malpractice shall include the following main contents:
(1) Basic information and requirements of both parties;
(two) the materials submitted by the parties and the investigation materials of the medical association responsible for organizing the technical appraisal of medical accidents;
(3) Description of the evaluation process;
(four) whether the medical behavior violates the medical and health management laws, administrative regulations, departmental rules and the norms and routines of diagnosis and treatment;
(five) whether there is a causal relationship between medical negligence and the consequences of personal injury;
(six) the degree of responsibility of medical negligence in the consequences of medical accident damage;
(seven) the level of medical accidents;
(eight) to provide medical nursing medical advice for patients with medical accidents. Thirty-fourth technical appraisal of medical accidents, appraisal fees can be charged. If it is identified as a medical accident, the appraisal fee shall be paid by the medical institution; If it is not a medical accident, the appraisal fee shall be paid by the party applying for medical accident treatment. The appraisal fee standards shall be formulated by the competent price departments of the people's governments of provinces, autonomous regions and municipalities directly under the Central Government in conjunction with the financial departments and health administrative departments at the same level.