The AASM Standards allow for the sleep lab and clinic to be in separate physical location. The AASM defines sleep facility as the sleep lab and clinic collectively, even if they are in separate physical locations. Regardless of the location of the clinic (i.e. within the center, in a physician’s separate office, etc.), it is considered part of the sleep facility and must provide information required for the sleep facility to meet these standards.
The Standards require that the sleep facility maintains all clinical information, including the PAP assessment data specifically required by Standard H-2 for applicable patients, and quality assurance data required by Standards J-1-J-2 for each patient seen or tested in their medical record. The AASM Standards do not specify the location where the medical records must be held (i.e. the clinic vs. the lab) but these records must be maintained and accessible by the sleep facility.
The sleep facility is not required to have this information for patients that are directly referred for testing only; Standard H-2 only applies to patients who are prescribed PAP by sleep facility staff.