高鹏志

（中国政法大学证据科学研究院，北京 100088）

【摘 要】 医疗纠纷证据的真实性问题依然突出，新颁布的《医疗纠纷和处理条例》进一步完善了医疗 纠纷证据的封存及管理等制度，旨在解决这一问题，但显然作用有限。而证据保管链制度要求收集证据至 庭审阶段有完整的记录体系，对于解决证据的真实性问题具有极为重要的意义。我国医疗纠纷领域已经存 在有关证据保管链环节的立法，并且有自身的特色，遗憾的是没有形成体系。从长远看，我国应当从证据 保管链的角度系统考虑医疗纠纷证据的收集、封存、保管等问题，在现有制度的基础上，不断完善证据保 管链的完整性。

【关键词】医疗纠纷；证据保管链；保管责任；病历；可疑医疗物品

【中图分类号】D915.13

【文献标识码】A

【文章编号】1674-1226（2018）04-0469-10

The Chain of custody inmedical malpractice dispute. Gao Pengzhi. China University of Political Science and Law, Beijing 100088

【Abstract】The authentication of evidence in medical malpractice dispute remains to be anoutstanding question.The newly issued Regulations on Medical Malpractice Dispute and Its Settlement (RMMDS),which further the regime regarding sealing and procession the evidence in medical malpractice disputes,aim toresolve the issue above,but clearly the effect of RMMDS is limited. Indeed, the chain of custody,which requires a complete recording of continuous possession of the evidence from the time it is seized until the time it is presented in court, plays a significant role in resolving the issue as to the authentication of evidence. Rules regarding chain of custody in medical malpractice dispute has been enacted. Although the rules take unique characteristics, a complete system of rules of chain of custody has not been established yet. In the long run, the chain of custody theory would lend support to the establishment of the rules regulating the collection, storage, and possession of evidence in medical malpractice dispute. Further efforts should be

invested to improve the completeness of the rules of chain of custody.

【Key Words】 Medical malpractice dispute, Chain of custody, Responsibility in chain of custody, Medical record, Suspicious medical treatment item