Ala. Admin. Code r. 420-5-9-.12

Current through Register Vol. 43, No. 02, November 27, 2024

Section 420-5-9-.12 - Medical Record Services

(1) The FED shall have medical records fully integrated in the medical record system of the parent hospital and shall be governed by the Board's Rules for Hospitals, Chapter 420-5-7, Ala. Admin. Code. Each FED shall also maintain a picture archiving and communications system ("PACS") which provides for the timely and efficient storage, transmission and retrieval of digital medical images.

(2) Each FED shall maintain a register or log of all patients who present to the FED for treatment or services.

(3) Each FED shall maintain a medical record for each patient that documents the purpose of the visit and discharge instructions including the detection and course for necessary follow up.

(4) All orders, including verbal orders, shall be dated, timed, and authenticated by the ordering practitioner in accordance with hospital policy, but no longer than 30 days after entry.

(5) The parent hospital shall maintain a plan to transfer all records to another facility in the event the FED ceases operation.

Ala. Admin. Code r. 420-5-9-.12

New Rule: Filled July 22, 2013; effective August 26, 2013.

Authors: W. T. Geary, Jr., M.D., Carter Sims

Statutory Authority:Code of Ala. 1975, §§ 22-21-20, et seq.