Current through Register Vol. 47, No. 6, September 18, 2024
(1)
Medical records. Accurate and complete medical records shall
be maintained for all patients and signed by the appropriate provider. These
records shall be filed and stored in an accessible manner and in accordance
with the statute of limitations as specified in Iowa Code chapter
614.
(2)
Hospital
records. A hospital shall maintain the following records:
a.
Admission records. A
register of all admissions to the hospital.
b.
Death records. A record
of all deaths in the hospital, including all information on a standard death
certificate as specified in Iowa Code chapter 144.
c.
Birth records. A record
of all births in the hospital, including all information on a standard birth
certificate as specified in Iowa Code chapter 144.
d.
Controlled substance
records. Controlled substance records in accordance with state and
federal laws, rules and regulations.
(3)
Electronic records. In
addition to the access provided in 481-subrule 50.10(2), an authorized
representative of the department shall be provided unrestricted access to
electronic records pertaining to the care provided to the patients of the
hospital.
a. If access to an electronic record
is requested by the authorized representative of the department, the hospital
may provide a tutorial on how to use its particular electronic system or may
designate an individual who will, when requested, access the system, respond to
any questions or assist the authorized representative as needed in accessing
electronic information in a timely fashion.
b. The hospital shall provide a terminal
where the authorized representative may access records.
c. If the hospital is unable to provide
direct print capability to the authorized representative, the hospital shall
make available a printout of any record or part of a record on request in a
time frame that does not intentionally prevent or interfere with the
department's survey or investigation.
