Current through Register Vol. 54, No. 49, December 7, 2024
Section 119.24 - Patient medical records(a) An accurate medical record shall be maintained for every patient receiving medical treatment provided by the outpatient service. It shall be made part of the medical record of the patient otherwise required and shall be maintained in accordance with §§ 115.31-115.34 (relating to policies and procedures for patient medical records). A system of identification and filing which will ensure rapid retrieval of medical records shall be maintained.(b) Whenever a patient is referred or transferred from the outpatient service to another physician or health care facility or is admitted to the hospital, all information necessary for his ongoing treatment shall be sent promptly to the receiving physician or facility. The transfer of information should be authorized by the patient or, in an emergency situation or if the patient is a minor, by his relative or other responsible person.(c) When a patient has been referred from another agency or facility, the outpatient service shall, after obtaining authorization of the patient, seek to obtain the records and information as are necessary to assure continuity of care for that patient. The transfer of information should be authorized by the patient or, in an emergency situation, or if the patient is a minor, by his relative or other responsible person.