What is the recording format of menstrual history?

Generally, the age of menarche is written first, followed by the denominator indicating the number of days in the menstrual cycle and the numerator indicating the number of days lasting, followed by the age of menopause. If there is no menopause, you don't have to write it.

Example: (menarche age) 143~7 (menstrual duration) /28~30 (menstrual cycle) 49 (menopausal age).

Menstrual history is an important part of gynecological history, including menarche age, menstrual period and menstrual period. For example, 14-year-old menarche, menstruation comes once every 28 ~ 30 days, each lasting for 5 days, which can be abbreviated as 14 days.

Identification of the authenticity of medical records;

Medical documents such as medical records must be cross-examined by both parties in court before they can become evidence to determine the facts of the case, and the authenticity of medical records can be determined through cross-examination. The specific requirements for cross-examination are as follows.

First of all, we should cross-examine the form and format of medical records. The writing of medical records should meet the requirements of the Basic Specification for Medical Records Writing promulgated by the Ministry of Health, including the completeness of medical records, the correction methods of writing errors, the examination and approval methods of superior doctors, and the signature of doctors. Article 6 of the Basic Specification for Medical Record Writing (Trial) stipulates that when typos appear in the process of medical record writing, they shall be marked with double lines, and the original handwriting shall not be covered or removed by scraping, gluing or painting.

Secondly, the content of medical records should be cross-examined. Pay attention to whether the contents of medical records are consistent and conform to the law of disease occurrence, development and evolution.

Finally, the medical records are verified with other evidence. As key evidence, medical records are of course important. If it is not the only evidence, there may be other evidence in the lawsuit. Therefore, when the court cross-examines and judges examine and confirm, we must pay attention to mutual confirmation with other evidence to eliminate contradictions and inconsistencies.