Adverse event laboratory tests in the judgment need to be recorded medical records

Medical malpractice judicial appraisal is required to provide medical records, in addition, it is also required to provide the person concerned with their own identity card, the original of their own medical records in previous years (including discharge summary, X-ray or CT film, pathology report card, laboratory tests and other kinds of original examination), so that the medical experts to check the reference, as needed, photocopying and retention.

Legal basis

Article 28 of the Regulations on the Handling of Medical Accidents

The medical association responsible for organizing the technical appraisal of medical accidents shall, within five days from the date of acceptance of the technical appraisal of medical accidents, notify the two parties to the medical accident dispute of the submission of the materials necessary for the technical appraisal of the medical accident.

The parties concerned shall submit the materials, written statements and defense concerning the technical appraisal of medical malpractice within 10 days from the date of receipt of the notification from the medical association. The materials submitted by the medical institution for technical appraisal of medical malpractice shall include the following:

(1) the original medical records of the hospitalized patients, records of the discussion of fatal cases, records of the discussion of difficult cases, opinions of the consultation, and records of the examination room of the supervising physician;

(2) the hospitalization records of the hospitalized patients, temperature slips, medical prescription slips, laboratory reports, medical imaging and examination data, consent for special examinations, and medical records of the hospitalized patients, medical records of the hospitalized patients, and medical records of the hospitalized patients. (b) The original medical records of inpatients such as hospital records, temperature slips, medical prescription slips, laboratory tests (test reports), medical imaging reports, special examination consent forms, surgical consent forms, surgical and anesthesia record slips, pathological data, nursing records, etc.