Florida Administrative Code
59 - AGENCY FOR HEALTH CARE ADMINISTRATION
59A - Health Facility and Agency Licensing
Chapter 59A-9 - ABORTION CLINICS
Section 59A-9.031 - Clinical Records
Universal Citation: FL Admin Code R 59A-9.031
Current through Reg. 50, No. 187; September 24, 2024
(1) A permanent individual clinical record shall be kept on each clinic patient. Clinical records shall be complete, accurately documented, and systematically organized to facilitate storage and retrieval.
(a)
Clinical records shall contain a printed image of the ultrasound used to
determine the period of gestation.
(b) Clinical records shall be kept
confidential and secure.
(c)
Operative reports signed by the physician performing the second trimester
abortion shall be recorded in the clinical record immediately following the
procedure or that an operative progress note is entered in the clinical record
to provide pertinent information.
(2) Clinical records shall be kept on file for a minimum of five years from the date of the last entry.
Rulemaking Authority 390.012 FS. Law Implemented 381.012 FS.
New 6-13-90, Amended 4-17-91, Formerly 10D-72.031, Amended 9-25-06, 4-5-17.
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