3701-83-49 Medical record - freestanding radiation therapy centers.

In addition to the requirements of rule 3701-83-11 of the Administrative Code, each freestanding radiation therapy center shall maintain documentation of the following in each patient's medical record:

(A) Confirmation of the presence of malignancy by histopathology, or a statement of benign condition, or other alternative evidence for diagnosis of all cases accepted for radiation;

(B) Documentation of services and radiographic images, including localization films, appropriate to the therapy provided;

(C) Report of the initial evaluation including a definition of the tumor location and the extent of each cancer as a basis for staging;

(D) The treatment plan including the selection of dose, selection of treatment modality, and selection of treatment technique;

(E) The dosimetry calculations;

(F) The patient's progress and tolerance throughout treatment; and

(G) The completion of treatment with a statement of a follow-up plan.

Effective: 7/1/2016
Five Year Review (FYR) Dates: 02/16/2016 and 02/15/2021
Promulgated Under: 119.03
Statutory Authority: 3702.13, 3702.30
Rule Amplifies: 3702.12, 3702.13, 3702.30
Prior Effective Dates: 1/13/1996