AGENCY: Weber-Morgan District Health Department (Utah)

SERIES: 10158
TITLE: Cervical cancer screening charts
DATES: ca. 1977-1982.
ARRANGEMENT: Alphabetical by patient surname

DESCRIPTION: These charts record cervical cancer screenings held outside the local health department at various community, religious, and professional facilities or organizations. The records document the actual screenings, test results, referrals for additional medical treatment, and counseling given to patients through the cervical cancer screening program. These records include a clinic results form, an informed consent form, and a health record form. Information includes the date, clinic number, case number, patient's name, address, telephone number, whether attended previous state or county cervical cancer screening clinics, date, and location; screener number, name of next of kin, race, education, income, health history, physical description, date of last menstrual period, whether pregnant, contraceptive methods used, date first married, age at first pregnancy, blood pressure reading, breast examination results, pelvic examination results, medicaid number, medicare number, whether referral made to patient's private physician, signed consent for the screening, the diagnosis, the procedures used in the testing, and the recommended treatment.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

These records are in Archives' permanent custody.

APPROVED: 03/1992

FORMAT MANAGEMENT

Paper: Retain in Office for 5 years after case closed and then destroy.

APPRAISAL

Administrative Legal

This dispostion is based on both the administrative needs expressed by the local health department and the state health department and also meets the statute of limitations requirements. According to UCA 78-14-4 (1991), an action for malpractice must take place within a maximum of 4 years from the act.

PRIMARY DESIGNATION

Private

---