1Assistant Professor, Department of Community Medicine, Gian Sagar Medical College, Patiala, Punjab, India
2Professor & Head, Department of Forensic Medicine and Toxicology, Gian Sagar Medical College, Patiala, Punjab, India
3Associate Professor, Department of Forensic Medicine and Toxicology, Gian Sagar Medical College, Patiala, Punjab, India
4Professor, Department of Forensic Medicine and Toxicology, PGIMS, Rohtak, Haryana, India
5Professor, Department of Forensic Medicine and Toxicology, Gian Sagar Medical College, Patiala, Punjab, India
*Corresponding author Dr.Harinder Singh Phone: +919216684936 Email: yoharinder@gmail.com
Medical record is the ‘measure’ through which the issues (legal, medical, research) are evaluated at a later date, may be after years in occasional cases. The old dictum, “ if you didn't write it down, it didn't happen” is liable to be envoked in a legal sense. and conversely whatever is written is likely to be microscopically viewed through eagle-eyed attorney's. Instances may be legion where cases have been lost because of falling short of standards of maintaining medical records accpetable by honourabe courts, even though malpracticce/negligence in treatment/Or diagnosiss could not be proved for both coexisting as discussed in following article.
Medical records, electronic records