ABSTRACT
Contents Objectives ............................................................................................................................... 304 Introduction ............................................................................................................................ 304 Obtaining Medical Records ..................................................................................................... 304
Compile Complete Medical Records .............................................................................. 304 Records that may not be Produced as Part of the Medical Records .................................. 305
Fetal Heart Monitor Strips .................................................................................. 305 Radiographic Films ............................................................................................. 306 Special Procedures Reports, Films, and Logs ....................................................... 306 Videotapes or Photographic Documentation of Surgical Procedures or Deliveries .....306 Emergency Medical Services Transport Records................................................... 307 Emergency Room Logs/Operating Room Logs/Radiology Logs/Pharmacy Logs .......307 Autopsy Records ................................................................................................. 307 Billing Records .................................................................................................... 308 Police or Sheriff Reports ...................................................................................... 308 Accident or Work Site Reports ............................................................................ 308 Reference Laboratories ........................................................................................ 309
Pharmaceutical Records ...................................................................................... 309 Facility Pharmaceutical Records .......................................................................... 309 Records of HIV Testing ........................................................................................310 Neonatal Transfer Reports ....................................................................................310 Specialty Testing ...................................................................................................310 Operating Room Logs and Medical Equipment or Devices ..................................310 Biomedical Equipment Identifi cation and Maintenance Records..........................310 Medical Records Dictation Logs ...........................................................................310
