10A N.C. Admin. Code 14F.2001

Current through Register Vol. 39, No. 12, December 1, 2024

Section 14F .2001 - POLICIES AND PROCEDURES FOR MEDICAL RECORDS

The program shall develop and implement policies and procedures to include at least the following:

(1) maintenance of a complete, accurate, and organized medical record for each patient admitted to the program;

(2) confidentiality of records;

(3) accessibility of medical record information to the patient, program staff, and non-employees; and

(4) authentication of entries in medical records including hard copy records and those kept in electronic medium such as computerized records.

10A N.C. Admin. Code 14F .2001

Authority G.S. 131E-169;
Eff. July 1, 2000;
Pursuant to G.S. 150B-21.3A, rule is necessary without substantive public interest Eff. December 6, 2016.

Authority G.S. 131E-169;
Eff. July 1, 2000.