目的探讨实行《病历书写基本规范》遇到疑难情况时正确性解决的思路。方法对在实行《病历书写基本规范》中遇到的四种情提出解决的思考。结果此种解决思考符合《病历书写基本规范》的法理范畴,临床医生乐于接受。患者和社会也认可。结论实行《病历书写基本规范》疑难情况的思考是解决病历书写规范难题,提高病案质量的一种行之有效的方法。 Objective To explore the correctness of the implementation of the “Basic Rules for Writing Medical Records” when it encounters difficult situations. Methods To propose solutions to the four situations encountered in the implementation of the “Basic Rules for Writing Medical Records.” As a result, this type of thinking is consistent with the legal category of the “Basic Rules for Writing Medical Records.” Clinicians are happy to accept it. Patients and society are also recognized. Conclusion It is an effective method to solve the difficult problem of writing medical records and improve the quality of medical records.