medical department record guidelines
Written consent of patients, former patients or persons authorized to act in behalf of patients or former patients shall be obtained before copies of medical records are released
Final diagnoses, secondary diagnoses, procedures and complications must be coded and indexed
There should be an area for the medical staff to complete records
All original medical records, including x-ray films, electrocardiogram tracings, laboratory reports, etc., are the property of the hospital and shall be kept on file in conformity with the law
These files should be secure and fireproof and may be microfilmed in accordance with state and local permits.