(D) For each patient a physician diagnoses as having chronic pain, the physician shall maintain a written record of all of the following: (1) Medical history and physical examination of the patient; (2) The diagnosis of chronic pain, including signs, symptoms, and causes; (3) The plan of treatment proposed, the patient's response to treatment, and any modification to the plan of treatment, including all of the following: (a) Documentation that other medically reasonable treatments for relief of the patient's chronic pain have been offered or attempted without adequate or reasonable success; (b) Periodic assessment and documentation of the patient's functional status, including the ability to engage in work or other purposeful activities, the pain intensity and its interference with activities of daily living, quality of family life and social activities, and physical activity of the patient; (c) Periodic assessment and documentation of the patient's progress toward treatment objectives, including the intended role of controlled substances or products containing tramadol within the overall plan of treatment; (d) Periodic assessment and documentation for indicators of possible addiction, drug abuse, or drug diversion; (e) Notation of any adverse drug effects. (4) The dates on which controlled substances or products containing tramadol were prescribed, furnished, or administered, the name and address of the patient to or for whom the controlled substances or products containing tramadol were prescribed, furnished, or administered, and the amounts and dosage forms for the controlled substances or products containing tramadol prescribed, furnished, or administered; (5) A copy of any record or report made by another physician that was used or consulted for the purpose of diagnosing the patient's chronic pain or treating the patient for chronic pain.
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