<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".12" citation="COMAR 10.05.05.12" title_num="10" subtitle_num="05" chapter_num="05" heading="Medical Records.">
  <paragraph num="A.">
    <text>The facility shall comply with COMAR 10.05.01.09 and the requirements of this regulation.</text>
  </paragraph>
  <paragraph num="B.">
    <text>Each medical record shall include, at a minimum:</text>
    <paragraph num="(1)">
      <text>Preoperative diagnostic studies, entered before surgery, if performed;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Findings and techniques of the operation, including a pathologist's report on all tissues removed during surgery, except those tissues exempted by the medical director;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Any allergies and abnormal drug reactions; and</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Entries related to anesthesia administration.</text>
    </paragraph>
  </paragraph>
</regulation>