Legal basis: Article 20 of the Regulations on Handling Medical Accidents, after receiving the report of major medical negligence of medical institutions or the application for handling medical accident disputes put forward by the parties involved in medical accident disputes, the health administrative department shall submit it to the medical association responsible for technical appraisal of medical accidents for appraisal; Medical malpractice disputes need to be identified through consultation between doctors and patients, and the medical association responsible for technical identification of medical malpractice shall be entrusted by both parties to organize the identification. Twenty-first municipal local medical associations with districts and county (city) local medical associations directly under provinces, autonomous regions and municipalities directly under the Central Government are responsible for organizing the first technical appraisal of medical malpractice. The local medical associations of provinces, autonomous regions and municipalities directly under the Central Government are responsible for organizing re-appraisal. When necessary, the Chinese Medical Association can organize technical appraisal of medical malpractice disputes that are difficult, complicated and have great influence in the whole country.