California
§ 71549. Medical Record Content.
1 provisions · California regulatory authority
Provisions
Citable source units
22 CCR 71549Medical RecordsNursing Services
Medical Record Content.
Specifies required inpatient medical-record content, including identification, psychiatric, treatment, medication, nursing, diagnostic, consent, operative, and discharge information.
Group
Records Health Information
Category
Medical Records
Domain
Records
Topics
Inpatient record content, Psychiatric medical records, Nursing documentation