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Authentication of Hospital Medical Records - 10-144-112 Me. Code R. § XII.F

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All entries into a patient’s medical record must either be signed or electronically authenticated by the treating physician or practitioner.  Each practitioner is responsible for authenticating the entries he or she makes, unless that individual is covering for another physician.  If the hospital uses electronic means to generate a medical record, each user must have a security password that is known only to that individual in order to authenticate the record.  Any order issued by telephone must be authenticated by a physician within 72 hours of receiving the call.

Current as of June 2015