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Healthcare Records

Table of Contents MSRM 140106.01

In the event that the EHR is not operational, a paper format system will be used. Healthcare record forms for services normally documented in the EHR, will be available at each facility for staff use.

The following forms are available electronically for use.

  • Facesheet
  • Infirmary Daily Shift Assessment - RN
  • Infirmary Shift Note - LPN
  • Medical Lay-In/Restrictions
  • Medical Progress Note - NARRATIVE (Same as progress note 140106B)
  • Medical Progress Note - SOAP (Same as progress note 140106B)
  • Mental Health Evaluation for Lower Security
  • Mental Health Intake Record Review
  • Mental Health Progress Note Narrative (Same as progress note 140106B)
  • Mental Health Progress Note SOAP (Same as progress note 140106B)
  • Mental Health Provider Note
  • Notification of Hospital Admission to Local Hospital
  • Offender Discipline Recommendations
  • Optometric Progress Note - Narrative
  • Providers Infirmary Admission Assessment
  • Providers Infirmary Assessment Note
  • Psychopharmacological Medication Screening and Management
  • Periodic Physical Examination (Non-Chronic Clinic)
  • Segregated Housing Unit (SHU) Medical Record Review
  • Telepsychiatry/Psychiatry Note

Last Modified on Oct 02, 2024
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Oklahoma Department of Corrections
4345 North Lincoln Blvd.
Oklahoma City, OK 73105
405-425-2500

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PO Box 11400
Oklahoma City, OK  73136-0400

 

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In Compliance with the reporting requirements of 74 O.S. 3106.4[C], this agency is making known that it stores name, birth date, place of birth, mother's maiden name, biometric records, Social Security number, official state or government issued driver license or identification number, alien registration number, government passport number, and employer or taxpayer identification numbers. The personally identifiable data is stored both electronically and in confidential paper files. The data is shared in compliance with court orders and agreements with other government bodies.