SECTION 310:667-19-5. Identification and filing

Latest version.

(a)   A system of identification and filing to insure the prompt location of a patient's medical record shall be maintained.
(b)   A system of retrieval bearing at least the full name of the patient, the address, the birth date, and the medical record number shall be available.
(c)   Filing equipment and space shall be adequate to house the records and facilitate retrieval and ensure an environment secure from unauthorized individuals.
(d)   A unit record shall be maintained so that both inpatient and outpatient treatments are in one folder. Records maintained in an electronic format will be considered a unit record if they are retrievable by a single patient identifier and immediately available for review by physicians, practitioners and patient care staff.

[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]

                    
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