摘要
随着信息技术的发展,电子病历正以其高效、便捷的天然优势逐渐取代传统纸质病历的支配地位。在医疗损害赔偿诉讼领域,因我国《侵权责任法》明确将"隐匿、伪造、篡改"病历作为推定医疗机构有过错的情形之一,患者往往以病历存在瑕疵为由,拒绝基于病历而开展的司法鉴定活动。病历作为医疗诉讼的关键性证据不言而喻。然因我国电子证据相关立法的滞后,电子病历的证据属性一度模糊不清,其应纳入何种法定证据种类进而获得证据资格上的肯认,仍待探讨。又因电子病历容易被不留痕迹地加以篡改、制作及修改时惯用"复制+粘贴"的手法、制作与保管主体为纠纷一方,其客观性、关联性、合法性都备受质疑。判断电子病历有无证据资格,关键在于审查其是否满足"证据三性"上的特殊要求。
With the development of information technology, electronic medical record is its high efficiency, convenient natural advantages to gradually replace the traditional paper-based medical record dominance. In the field of medical damage compensation lawsuit, because of the clear the tort liability act in China will ＂conceal, forge, distort＂medical records as a presumption of the circumstances of faults in medical institutions, patients often citing medical record was flawed, refused to based on medical records and to carry out activities of judicial authentication. Medical record as the key evidence of medical litigation is obvious, however, because of the lag in legislation of electronic evidence in our country, the electronic medical record evidence attribute once obscure, it should be included in what types of legal evidence to obtain evidence on the qualification recognition, still to be discussed. For electronic medical records are easy to be a trace to be tampered with, make and modify the ＂copy ＋ paste＂ is commonly used gimmick, make and keep a party subject to dispute, the objectivity, relevance and legitimacy are questionable. Judgment have electronic medical records without evidence qualification, the key is to review whether they meet the special requirements of ＂character＂evidence.
出处
《广西政法管理干部学院学报》
2017年第2期97-103,共7页
Journal of Guangxi Administrative Cadre Institute of Politics and Law
关键词
电子病历
证据属性
证据资格
electronic medical records
evidence attribute
evidence qualification
