If a physician or surgeon conducts a scheduled medical procedure outside a general acute care hospital resulting in the patient's transfer to an emergency center, he must complete a form with specified information that is then placed in the patient's medical record.
Access to community college student records permitted for emergency if necessary to protect the health or safety of a student or other persons, or subject to any regulations issued by the Secretary of Health, Education, and Welfare.
If a patient with an emergency medical condition is covered by a health care service plan that requires prior authorization for poststabilization care, a noncontracting hospital shall seek to contact the patient's health care service plan or its contracting medical provider for authorization to provide poststabilization care.
No person needing emergency services and care may be transferred from a hospital to another hospital for any nonmedical reason unless...(e) All the person's pertinent medical records are transferred with the person.
No person needing emergency services and care may be transferred from a hospital to another hospital for any nonmedical reason unless...(e) All the person's pertinent medical records are transferred with the person.
A hospital that transfers a patient for care and treatment to relieve/eliminate a psychiatric emergency medical condition shall (1) seek to obtain the name and contact information of the patient’s health care service plan and (2) notify the patient's health care service plan or the health plan's contracting medical provider of the transfer. The hospital shall document its attempt to ascertain this information in the patient's medical record.
A health care service plan contacted pursuant to Health and Safety Code 1262.8 shall discuss the enrollee's medical record with the noncontracting hospital representative, and send any appropriate portion of the enrollee's medical record that is requested in a manner compliant with laws to protect enrollee privacy.
Any licensee using mobile services pursuant to this chapter shall ensure that written policies include medical record documentation of care provided. For mobile units that provide emergency care, the unit must maintain records that include clinical records on each patient, in accordance with regulations, a mobile unit services log that shall include, patient chart or identification number, name, age, and sex of patient, site, date, time, and as appropriate, duration of procedure.
A home dialysis agency shall maintain clinical records of all the patients, a medical history and physical provided by the patient's physician and surgeon. The physical shall be updated annually, and the annual update shall be maintained in the patient's medical files. the clinical records shall also include clinical progress notes written by the patient's physician and surgeon, a qualified registered nurse, a qualified social worker, and a dietician.
