A. The facility shall comply with COMAR 10.05.01.09 and the requirements of this regulation.
B. Each medical record shall include, at a minimum:
(1) Preoperative diagnostic studies, entered before surgery, if performed;
(2) Findings and techniques of the operation, including a pathologist's report on all tissues removed during surgery, except those tissues exempted by the medical director;
(3) Any allergies and abnormal drug reactions; and
(4) Entries related to anesthesia administration.