依據美國職能治療學會建議病歷紀錄之要點，下列那些敘述正確？①病歷要寫上個案姓名與日期 ②病歷修改時請使用修正帶直接塗掉，再寫上正確的內容 ③病歷的存放及銷毀需符合機構或法律上的規定 ④病歷上的專業名詞都不要使用縮寫

①病歷需能明確辨識個案與服務時間，所以姓名、日期是基本要素；③病歷保存、存放與銷毀也要依機構政策及法律規範辦理。兩者都符合 AOTA 病歷紀錄精神。([cdn.wildapricot.com](https://cdn.wildapricot.com/207702/resources/Documents/AOTA%20Guidelines%20for%20Documentation%20of%20Occupational%20Therapy.pdf?Key-Pair-Id=K27MGQSHTHAGGF&Policy=eyJTdGF0ZW1lbnQiOiBbeyJSZXNvdXJjZSI6Imh0dHBzOi8vY2RuLndpbGRhcHJpY290LmNvbS8yMDc3MDIvcmVzb3VyY2VzL0RvY3VtZW50cy9BT1RBJTIwR3VpZGVsaW5lcyUyMGZvciUyMERvY3VtZW50YXRpb24lMjBvZiUyME9jY3VwYXRpb25hbCUyMFRoZXJhcHkucGRmP3ZlcnNpb249MTcwNTA3OTc2NTAwMCIsIkNvbmRpdGlvbiI6eyJEYXRlTGVzc1RoYW4iOnsiQVdTOkVwb2NoVGltZSI6MTc3MTMxOTEwN30sIklwQWRkcmVzcyI6eyJBV1M6U291cmNlSXAiOiIwLjAuMC4wLzAifX19XX0_&Signature=J3iCkgUTgBj3Oz5G77kMBTGqS39XfrJxqYWMLTCcV4hHjvIOaVMyt00oBFTaDcu-AwSCvC5mVONxgzjRIvFPKIalAVC~iO2gW2C4sxYagzBuFO0GRkVtDUK3hL9e6EWbYj~G9TPZlSm0gVASBjFjb9G0Rewr6t~hWkp6uJGxVjcWYs8Yb-5xI8Bwze71T1--KbuKl0RaS-EqK5OGPh5ZhaJcGTu268WYTn1cjulG91p843LaKOvEXxgNlLYX-9vmoFWj1r~QRsqC6E8u3Ldxl8oMXpwNIGTgqPOmBvgQreaXSsp2yKwJiO3hRvzTlSCYBJyiSCP40pWUsWh4JBZ0QA__&version=1705079765000&utm_source=openai))