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10.43.14.00.htm 10.43.14.00. Title 10 DEPARTMENT OF HEALTH AND MENTAL HYGIENE Subtitle 43 BOARD OF CHIROPRACTIC EXAMINERS Chapter 14 Record Keeping Authority: Health Occupations Article, §3-205, Annotated Code of Maryland
10.43.14.01.htm 10.43.14.01. 01 Scope.. This chapter establishes the minimum standards for the documentation of patient care by the chiropractor.
10.43.14.02.htm 10.43.14.02. 02 Definitions.. A. In this chapter, the following terms have the meanings indicated.. B. Terms Defined.. 1) “Board” means the Maryland Board of Chiropractic Examiners.. 2) "Diagnosis" means the determination by the chiropractor of the nature and cause of a disease or injury through evaluation of patient history, examination, and review of any laboratory and radiological data.3) "Examination" means varied procedures such as analysis, assessment, and evaluation performed by t
10.43.14.03.htm 10.43.14.03. 03 Record Keeping.. A. The chiropractor shall maintain accurate, detailed, legible, and organized records, documenting all data collected pertaining to the patient's health status.B. The chiropractor may not erase, alter, or conceal patient records but shall initial and date any changes made in the corresponding margin.C. The Patient Record.. 1) The chiropractor shall create a record for each patient.. 2) The chiropractor shall state the patient's name or identification number
10.43.14.04.htm 10.43.14.04. 04 Supervisory Responsibilities.. A. The chiropractor is responsible for record keeping, consent forms, billing, and other patient-related documentation handled, maintained, or managed by the chiropractor's staff.B. The chiropractor shall ensure that employees involved in the preparation, organization, and filing of records adhere to the regulations of this chapter.
10.43.14.05.htm 10.43.14.05. 05 Patient History.. The chiropractor shall include the following in the patient history:. A. Personal data, including:. 1) Name,. 2) Address,. 3) Telephone number,. 4) Date of birth,. 5) Race,. 6) Sex, and. 7) Current occupation;. B. Complaint or complaints, including:. 1) Description of the complaint or complaints,. 2) Quality and character of the complaint or complaints,. 3) Intensity,. 4) Frequency,. 5) Location,. 6) Radiation,. 9) Palliative and provocative factors, and.
10.43.14.06.htm 10.43.14.06. 06 Penalties.. Violation of this chapter may result in disciplinary action against the chiropractor, as set forth in Health Occupations Article, §3-313, Annotated Code of Maryland.
10.43.14.9999.htm 10.43.14.9999. Administrative History Effective date: February 23, 1998 (25:4 Md. R. 244). Regulation .02B amended effective June 13, 2011 (38:12 Md. R. 705). Regulation .03B amended effective October 22, 2007 (34:21 Md. R. 1915) ―. Chapter and Subtitle renamed and recodified from COMAR 10.43.15 to COMAR 10.43.14, Board of Chiropractic Examiners, Record Keeping, effective January 2, 2017 (43:26 Md. R. 1446)
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