病历是对医疗机构及医疗人员检查、诊断、治疗、护理等医疗行为的记录,作为一种书面证据,决不允许随意篡改。但是由于病历制作的特殊性,可以按照有关规定进行合理更改。对于被认定为篡改的更改行为是否就应当按照《侵权责任法》第58条规定推定医疗机构有过错而让之承担责任?承担何种责任?本文结合《侵权责任法》相关规定对病历更改的民事责任构成要件进行探讨。 Medical record is a medical record of the medical institutions and medical personnel examination, diagnosis, treatment, care and other medical acts, as a written evidence, never allowed to tampered. However, due to the particularity of medical records, reasonable changes can be made in accordance with the relevant provisions. Whether the act of alteration that is deemed to be tampered with should be assumed to be responsible for the fault of the medical institution in accordance with the provisions of Article 58 of the Tort Liability Act and what kind of responsibility should be assumed? In accordance with the relevant provisions of the Tort Liability Act, Elements of civil liability to be explored.