OAC 310:667-19-5
Identification and filing
Cite as Okla. Admin. Code § 310:667-19-5
(a)
A system of identification and filing to insure the prompt
location of a patient's medical record shall be maintained.
(b)
A system of retrieval bearing at least the full name of the
patient, the address, the birth date, and the medical record number
shall be available.
(c)
Filing equipment and space shall be adequate to house the records
and facilitate retrieval and ensure an environment secure from
unauthorized individuals.
(d)
A unit record shall be maintained so that both inpatient and
outpatient treatments are in one folder. Records maintained in an
electronic format will be considered a unit record if they are
retrievable by a single patient identifier and immediately available for
review by physicians, practitioners and patient care staff.