1. A. The freestanding medical facility shall ensure that staff members develop a legible and appropriate medical record for each patient who visits the facility for treatment.

2. B. Security and Disclosure of Medical Information. The freestanding medical facility shall:

   1. (1) Maintain records in a secure manner that protects the confidentiality of patient information at all times;
   2. (2) Develop and implement policies and procedures for disclosure of patient medical records and patient access to their medical records, including the costs for retrieving and copying records as defined in Health-General Article, §§4-301— 4-309, Annotated Code of Maryland; and
   3. (3) Make medical records available to emergency medical services agencies for outcome data as directed by the Maryland Institute for Emergency Medical Services System.
3. C. Retention. The medical record shall be retained as required by all federal and State laws and regulations and shall be made available promptly to the freestanding medical facility staff.

Authority: Health-General Article, §2-104 and Title 19, Subtitle 3A, Annotated Code of Maryland

Effective date: February 12, 2007 (34:3 Md. R. 297)

Regulation .04B amended effective March 13, 2017 (44:5 Md. R. 292)

Regulation .05A amended effective March 13, 2017 (44:5 Md. R. 292)

Regulation .05C amended effective August 29, 2016 (43:17 Md. R. 953)