PUB 700669: Required Computerization of Medical Records by Kent Jerome Nauman
NEW ARTICLE
Title: COMPUTERIZATION OF MEDICAL RECORDS
Requires computerization of medical records in Dr. Weed's S.O.A.P. format (Subjective, Objective, Assessment, Plan) with date and signature. Computerized records are then to be audited in real time with diagnostic and statistical quality control programs. Surgical procedures under general anesthesia shall be recorded by video as part of this medical record.