Legal analysis: diagnosis certificate and discharge record are two concepts. Even if you are still in hospital, you can still issue a diagnosis certificate, and the discharge record includes many things, such as the results of the first physical examination, laboratory test results and doctor's diagnosis when you are admitted to hospital. What you see or test every day should be recorded in it. The discharge summary refers to what doctors fill out after hospital, which mainly records the basic situation of admission, hospitalization and discharge, but it is not detailed. General patients can get the diagnosis certificate and discharge summary when they leave the hospital. If there are special requirements, such as judicial expertise or insurance, they can ask for a copy of the whole medical record in the medical department of the hospital. The original is kept in the legal hospital for 20 years and will not be given to the patient. The copy with the official seal of the hospital will have legal effect, but copying one will charge different fees, which mainly depends on the hospital itself.

Legal basis: Article 29 of the Social Insurance Law of the People's Republic of China, the part of medical expenses that should be paid by the basic medical insurance fund shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units. The administrative department of social insurance and the administrative department of health shall establish a settlement system for medical expenses in different places to facilitate the insured to enjoy the basic medical insurance benefits.