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Standard 10 - RECORD KEEPING
All units shall maintain a complete record of all
tests performed and this shall include complete identifying details of
the patient. Records relating to patients, results and quality control
shall be kept in readily accessible form.
Commentary
- The written request shall be retained as long as considered
useful or as long as required by a statutory authority.
- All units shall maintain a complete record of all
scans performed and this shall include complete identifying details
of the patient, the name of the referring medical practitioner, the
date the test was performed and investigations required.
- The raw data from all scans shall be stored using
appropriate long-term electronic storage mediums, allowing re-analysis
when necessary. QC data relevant for the validation of scans shall also
be stored.
- Unlike many clinical investigations, bone densitometry
data increase in utility the longer the serial record is maintained.
Thus copies of reports shall be retained in the unit for a minimum of
ten years, or in compliance with any statutory requirement - whichever
is longer.
- Results of investigations are normally confidential
to the requesting medical practitioner and patient, but past Unit records
may be made available to a clinician currently caring for the patient.
Requests from a researcher for access to data must be approved by the
appropriate institutional ethics committee, and all identifying information
must be removed from the data, except with the specific consent of the
patient.
- Storage conditions for Unit records shall be adequate for their preservation
and retrieval.
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