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目的 探讨医学文书作为证据应具备基本特征和法律责任。方法 应用证据学理论并结合有关法律法规， 对医学文书的证据材料属性和标准进行分析。结果 医学文书属公文性书证， 作为证据应具备下列标准： （１） 按卫生部门规定时限完成， 不能在诉讼后补写； （２） 出具的医学文书应是取得执业许可的医疗机构和医务人员； （３） 必须是医师亲自诊治、检查； （４） 出具医学文书内容和格式必须符合卫生行政部门要求。在医学临术实践中， 涉及法律诉讼有关医学文书存在种种缺陷。结论 医学文书作为证据已受到法医学、医学和法律界广泛关注， 医学文书不完整及各种改动、丢失、补写必然影响证据可靠性和可信度。出具虚假医学文书， 应受到相应处罚
Objective To explore the medical documents as evidence should have the basic characteristics and legal responsibilities. Methods Applying evidence theory and combining with relevant laws and regulations, this paper analyzes the evidence material properties and standards of medical documents. Results Medical documents are official documentary evidence, which should meet the following criteria as evidence: (1) Completed within the prescribed time limit by the health authorities and can not be overwritten after the lawsuit; (2) Medical documents issued should be licensed medical institutions and medical personnel ; (3) must be a doctor to personally diagnose and check; (4) the content and format of medical documents issued must meet the requirements of the health administrative department. In the practice of medical science, there are some defects in the medical documents related to legal proceedings. Conclusion Medical documents as evidence has been widely concerned by forensic science, medical and legal circles. The medical documents are not complete and all kinds of changes, losses and complements inevitably affect the reliability and credibility of evidence. If a false medical document is issued, it shall be punished accordingly