Oklahoma Department of Human Services
Sequoyah Memorial Office Building, 2400 N. Lincoln Blvd. • Oklahoma City, OK 73105
(405) 521-3646 • Fax (405) 521-6684 • Internet: www.okdhs.org
340:100-3-40.1. Continuous medical record
 

Revised 5-15-08

 

     The continuous medical record provides an overview of the medical history and current medical problems of the service recipient.

  • (1) Form 06HM039E, Continuous Medical Record, is:
    • (A) initiated by the contract provider;
    • (B) maintained in the home record per OAC 340:100-3-40; and
    • (C) required for service recipients who receive:
  • (2) Form 06HM039E includes, but is not limited to:
    • (A) physician's current diagnosis from Form 06HM005E, Referral Form for Examination and Treatment; and
    • (B) information regarding:
      • (i) medical allergies;
      • (ii) serious diseases and major illnesses;
      • (iii) surgeries;
      • (iv) fractures;
      • (v) sutured lacerations;
      • (vi) chronic medical conditions, such as seizures or diabetes; and
      • (vii) reasons for emergency room visits or hospitalizations and diagnosis within the past year.
  • (3) The health care coordinator:
    • (A) or back-up as described in OAC 340:100-5-26, is responsible for making accurate entries on Form 06HM039E within 24 hours of occurrence by recording the information identified in OAC 340:100-3-40.1(2) from Form 06HM005E or other medical records; and
    • (B) obtains the relevant historical information.