Louisiana Administrative Code
Title 48 - PUBLIC HEALTH-GENERAL
Part I - General Administration
Subpart 3 - Licensing and Certification
Chapter 75 - Licensing of Rural Health Clinics
Subchapter A - General Provisions
Section I-7525 - Record Keeping
Universal Citation: LA Admin Code I-7525
Current through Register Vol. 50, No. 9, September 20, 2024
A. Medical Records
1. Identifying Information.
The patient identification information such as name or ID number must appear on
each page.
2. Entry Identification.
Entries must be dated, signed, and credentials identified (MD, RN,
etc.).
3. Contents. Each patient
record must contain the following:
a.
personal/biographical data including full name, age, sex, address, employer,
home and work telephone numbers, and marital status;
b. next of kin or contact person;
c. pertinent medical
history/information.
4.
Storage. All medical records shall be protected from theft, fire, and
unauthorized use. Open shelving may be utilized only when the patients/visitors
do not have access to the storage area. Closed records must be maintained by
the facility or its designee in accordance with the following:
a. a minimum of seven years from the date of
last entry. After two years, records may be maintained
electronically;
b. until the age of
majority, plus seven years in the case of children or adolescents.
B. Facility Records. A facility must maintain records of credentials and other evidence that facility is in compliance with current standards of practice and licensing standards as listed below:
1. personnel records;
2. advisory board meeting minutes;
3. policies/procedures with annual
approvals;
4. governing board
meeting minutes; and
5. proof of
hours worked for professional employees.
AUTHORITY NOTE: Promulgated in accordance with R.S. 40:2197.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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