<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".10" citation="COMAR 10.16.07.10" title_num="10" subtitle_num="16" chapter_num="07" heading="Electronic Records.">
  <paragraph num="A.">
    <text>All of the following records may be kept electronically:</text>
    <paragraph num="(1)">
      <text>A health log;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A camper health record;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A staff or volunteer health record;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A Medication Administration Authorization Form;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>A Medication Administration Form;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>A Medication Final Disposition Form; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>When an operator uses standing orders for medication administration, a parent or guardian consent form.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>The camp operator shall ensure that an electronic record under §A of this regulation is:</text>
    <paragraph num="(1)">
      <text>Capturing the same required information as the paper record being replaced;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Password protected;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Accessed only by authorized staff members;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Permanent and will not be deleted;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Capable of tracking staff member use of the system and producing an auditable record;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Maintained in a confidential manner;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Available at all times for review by the Department upon request; and</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Retained for a period of 3 years.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>If the electronic record under §A of this regulation is unavailable for any reason, the camp operator shall:</text>
    <paragraph num="(1)">
      <text>Provide a paper health log that meets the requirements of Regulation .05 of this chapter;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Record all injuries, illnesses, medication errors, and reportable diseases and conditions as defined in COMAR 10.06.01 in the paper health log until access to the electronic record is restored;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Transcribe all information recorded in the paper health log into the electronic record once access to the electronic record is restored;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Annotate the paper health log to indicate that transcription has occurred;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Retain the paper health log according to the time frame specified in Regulation .05 of this chapter; and</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Provide an alternative means to access the electronic record.</text>
    </paragraph>
  </paragraph>
</regulation>