Exact duplicates do not have to be shown, but they have to be EXACT duplicates for this rule to apply. If a duplicate is different then both must be made available. For example, copies of actual prescriptions are in the client chart. Those prescriptions may be transcribed onto a medication sheet that is in the chart, onto a supervision log for staff to sign off on when a medication is taken, and on the medication cabinet to indicate quickly the time of day that the medications must be given. All are part of the Designated Record Set. The two lists may be identical, and so both would not be shown. The copies of the actual prescriptions, however, have the doctor’s name and license number so these are not identical to the lists, and the staff supervision log has staff initials, so the log is not identical. One list, the copies of the prescriptions, and the medication log would have to be offered.
