Sec.
§ 5.51. Patient records.
(a) A licensee shall maintain a patient record for each patient which accurately reflects the licensee’s evaluation and treatment of the patient. Entries in the patient record shall be made in a timely fashion.
(b) The patient record shall contain the patient’s full name, address, date of birth, sex and other information sufficient to identify the patient, the date of every entry in the patient record and the name of the person making an entry if that person is not the licensee.
(c) The patient record shall contain sufficient information to document the clinical necessity for chiropractic care rendered, ordered or prescribed.
(d) A referral to another health care provider shall be reported in the patient record.
(e) A licensee shall retain a patient record for at least 7 years from the date of the last chiropractic service for which a patient record entry is required. A licensee shall retain the patient record for a minor patient until 1 year after the minor patient reaches majority, even if this means that the licensee retains the record for more than 7 years.
Authority
The provisions of this § 5.51 issued under section 302 of the Chiropractic Practice Act (63 P. S. § 625.302).
Source
The provisions of this § 5.51 adopted December 27, 1991, effective December 28, 1991, 21 Pa.B. 5944.
§ 5.52. Approved scientific instruments of analysis and diagnostic imaging procedures.
(a) Scientific instruments of analysis approved by the Board may include any scientific instrument of analysis which the licensee has been taught to use in an accredited college, through postgraduate education or through continuing education approved by the Board.
(b) Diagnostic imaging procedures approved by the Board may include the exposing, processing and interpreting of an x-ray or other diagnostic imaging which the licensee has been taught to expose, process or interpret in an accredited college, through postgraduate education or through continuing education approved by the Board.
(c) A scientific instrument of analysis may be utilized and a radiologic or other diagnostic imaging procedure may be performed only by a licensee who has been trained to utilize the instrument or perform the procedure as part of professional education in an accredited college, through postgraduate education or through continuing education approved by the Board. A licensee who has not received this training may not utilize the instrument or perform the procedure, but may refer the patient to a health care provider authorized under Pennsylvania law to utilize the instrument or perform the procedure.
Authority
The provisions of this § 5.52 issued under section 302 of the Chiropractic Practice Act (63 P. S. § 625.302).
Source
The provisions of this § 5.52 adopted December 27, 1991, effective December 28, 1991, 21 Pa.B. 5944.
§ 5.53. Radiological procedures.
(a) A licensee may not perform radiological procedures on a patient unless the licensee determines clinical need.
(b) An offer or advertising of free x-rays to actual or potential patients shall be accompanied by a statement that x-rays will be given only when necessary or that to avoid needless health hazards associated with ionizing radiation no x-ray will be given unless there is a prior observable clinical need, or by a similar disclaimer.
(c) The licensee shall avoid split screen radiological techniques or other mechanisms which compensate for tissue thickness by altering the screens or the light emissions from the screens, such as the occluding of one of the screens of the cassette.
(d) A licensee may not perform radiological procedures on a pregnant patient unless the licensee determines that the patient’s symptoms are of such significance that the proper treatment of the patient might be jeopardized without the use of the radiological procedures.
(e) A licensee may not perform radiological procedures without the use of appropriate compensating filters, gonad shielding and collimation, except where the gonad shielding and collimation would exclude or obscure an area from examination which is clinically necessary for the licensee to examine.
Authority
The provisions of this § 5.53 issued under section 302 of the Chiropractic Practice Act (63 P. S. § 625.302).
Source
The provisions of this § 5.53 adopted December 16, 1991, effective December 17, 1991, 21 Pa.B. 5944.
Cross References
This section cited in 49 Pa. Code § 5.31 (relating to professional advertising).
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