NDAC 33-07-01.1-20

Medical Records Services

Licensed North Dakota Acute Care Hospitals, Primary Care Hospitals, and Specialized Hospitals must:

• Assign responsibility for medical record maintenance to a medical records service and maintain sufficient personnel to provide necessary medical record services.
• Ensure the confidentiality of medical records. Hospitals must limit access to patient medical records to authorized personnel and must obtain a patient’s written consent prior to releasing medical information.
• Wait to destroy medical records until the later date of a child patient reaching the age of 21 or 10 years following a patient’s last treatment. Records that are the subject of litigation may not be destroyed.
• Comply with requirements regarding the content of medical records.
• Require individuals to authenticate their written medical record entries.