New Jersey Administrative Code
Title 10 - HUMAN SERVICES
Chapter 58 - NURSE MIDWIFERY SERVICES
Subchapter 1 - GENERAL PROVISIONS
Section 10:58-1.15 - Recordkeeping requirements for birth center services
Universal Citation: NJ Admin Code 10:58-1.15
Current through Register Vol. 56, No. 6, March 18, 2024
(a) Medical records maintained by a birth center for the maternity services shall include, but not be limited to:
1. Patient identification;
2. An initial medical history, results of physical examination, and diagnosis;
3. Progress notes for each visit, which shall include interim history, physical findings, and disposition;
4. Reports of laboratory and other diagnostic studies, and consultation;
5. Any allergies and abnormal drug reactions;
6. A report of the delivery process;
7. The status and condition of the newborn;
8. Documentation of properly executed informed consent of each woman enrolling in a birth center for treatment; and
9. A discharge diagnosis.
Disclaimer: These regulations may not be the most recent version. New Jersey 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.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
