OAC 310:667-19-7
Indices
Cite as Okla. Admin. Code § 310:667-19-7
(a)
Records shall be indexed according to disease, operation, and
physician or licensed independent practitioner and kept up-to-date. For
indexing, any recognized system may be used. The factors explaining the
standard are as follows:
(1)
As additional indices become appropriate due to advances in
medicine, their use shall be adopted.
(2)
The index list for a specific disease or operation, according to
a recognized nomenclature, shall include all essential data on each
patient having that particular condition. "Essential data" shall
include at least the medical record number of the patient so that the
record may be located. All conditions for which the patient is
treated during the hospitalization shall be so indexed.
(3)
Diagnoses and operations shall be expressed in terminology which
describes the morbid condition as to site and etiological factors or
the method of procedure.
(b)
Indexing shall be current within sixty (60) days following
discharge of the patient.