Medical records requirement - Ohio Admin. Code 3701-83-54

As a condition of licensure, each freestanding or mobile diagnostic imaging center must record in the diagnostic imaging radiology report the following information:

• Patient name or identifier;
• Name of referring physician, podiatrist, dentist, or chiropractor;
• Name of physician or chiropractic radiologist conducting image interpretation;
• Name and type of diagnostic image performed and any contrast media used;
• Date of image;
• Findings;
• Factors limiting interpretability of exam;
• Pertinent clinical issues; and
• Conclusion or diagnosis.

Each freestanding or mobile diagnostic imaging center must maintain all medical records for a period of six years from the date of service.  A mobile diagnostic imaging center may, by contract with a facility being served, require the facility to maintain such reports and medical records, provided that such reports and medical records are made available to the department of health for inspection.