SECTION 310:667-19-3. Maintenance

(a)   A medical record shall be maintained for every patient admitted for care in the hospital. Such records shall be kept confidential.

(b)   Only authorized personnel shall have access to the record.

(c)   Written consent of the patient shall be presented as authority for release for medical information unless this release is otherwise authorized by law.

(d)   Medical records generally shall not be removed from the control of the hospital except upon court order or as authorized by law. Department staff shall be authorized to obtain copies or review any medical record to assure compliance with these rules or other parts of this Title. Information from medical records used by the Department for regulatory purposes shall not disclose individual patient names.

(e)   Any person who is or has been a patient of a physician or licensed independent practitioner, hospital, or other medical facility shall be entitled to obtain access to the information contained in all his or her medical records upon request. This request for medical information shall include minors when such request is made by the parent or legal guardian. Copies of all medical records shall be furnished pertaining to his or her case upon the tender of the expense of such copy or copies. There is an exception to the general rule that a patient has an absolute right to the information in or a copy of his or her medical record. Oklahoma law provides ...that this entitlement to medical records shall not apply to psychiatric records {76 O.S. 1991, §19}.

[Source: Added at 12 Ok Reg 1555, eff 4-12-95 (emergency); Added at 12 Ok Reg 2429, eff 6-26-95; Amended at 20 Ok Reg 1664, eff 6-12-03; Amended at 20 Ok Reg 1664, eff 6-12-03]