Ohio Admin. Code 3701-83-54 - Medical records requirements - freestanding diagnostic imaging centers
(A) In addition to
the general medical record requirements of rule
3701-83-11 of the Administrative
Code, each freestanding or mobile diagnostic imaging center shall maintain a
diagnostic imaging radiology report for each patient, which includes the
following:
(1) Patient name or
identifier;
(2) Name of referring
physician, podiatrist, dentist, or chiropractor;
(3) Name of physician or chiropractic
radiologist conducting image interpretation;
(4) Name and type of diagnostic image
performed and any contrast media used;
(5) Date of image;
(6) Findings;
(7) Factors limiting interpretability of
exam;
(8) Pertinent clinical
issues; and
(9) Conclusion or
diagnosis.
(B) Each
freestanding or mobile diagnostic imaging center shall maintain
all
the reports
and medical records required by this rule and
rule 3701-83-11 of the Administrative
Code for a period of six years from the date of service.
(C) A mobile diagnostic imaging center may,
by contract with a facility being served, require the facility to maintain such
reports and medical records, provided that such reports and medical records are
made available to the department for purposes of section
3702.30 of the Revised Code and
Chapter 3701-83 of the Administrative Code.
Notes
Promulgated Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates: 01/13/1996, 06/27/1996, 07/01/2016
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