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7 AAC 13.115. Patient records. (a) A facility shall maintain an organized records system that contains the following for each patient:

(1) a description of history, physical findings, and laboratory results for each visit;

(2) an assessment and, where appropriate, a diagnosis;

(3) a treatment plan; and

(4) a record of medications prescribed. (b) Facility staff shall complete a patient record at the time of the visit. The person recording a visit shall sign and date the entry. (Eff. 3/17/85, Register 93) Statutory Authority: Authority: AS 18.25.100 7 AAC 13.120. Records retention. (a) A facility shall retain administrative records in accordance with 7 AAC 78.250. (b) Patient records of the facility must be retained for seven years following the discharge of the patient. However, the records of a patient under 19 years of age shall be kept until at least two years after the patient reaches age 19, or until seven years after the discharge of the patient, whichever is later. (Eff. 3/17/85, Register 93) Statutory Authority: Authority: AS 18.20.085 AS 18.25.100