University of California                                          Records Management Disposition Schedules

Record Type or Number Record Title or General Description Office of DISPOSITION SCHEDULE IN YEARS Record Record Copy Other Copy

IV. MEDICAL


A. STUDENT HEALTH SERVICES
.         Patient Records                           Student       10-25 years   ---          
						    Health        after last                 
	  Inpatient Medical Records                 Service       date of                    
								  activity                   

.         Outpatient Records                        Student       10-25 years   ---          
						    Health        after last                 
	  Medical                                   Service       date of                    
	  Dental                                                  activity                   
	  Mental Health                                                                     
	  Workers' Compensation                                                             
	  Optometry                                                                         
	  Immunization                                                                      

.         Radiographic Films                        Student       7-10 years    ---          
						    Health        after last                 
	  Medical                                   Service       date of                    
	  Dental                                                  activity                   

.         Patient Care Committee Reports and        Student       5-10          ---          
.         Minutes                                   Health                                   
						    Service                                  
	  Medical Staff Committees                                                          
	  Quality Assurance Committees                                                      

						    Student                                  
.         Administrative Records                    Health                                   
						    Service       5-10          ---          
	  Administrative Staff Minutes and                        3-5           ---          
	  Reports                                                 2             ---          
	  Billing and Cashier                                     6 mts.- 2     ---          
	  Insurance                                               yrs.                       
	  Patient Clinic Registration and                                                   
	  Appointment                                                                        
	       Listings                                                                      

B. TEACHING AND RESEARCH HOSPITAL (1)
	  Administrative Records:  See Section I                                             

 G        Admission Records                         Hospital                                 

	  Admissions and Services, Yearly                         Permanent                  

	  Admissions and Services, Daily and                      Upon                       
	  Monthly                                                 completion                 
								  of yearly                  
								  report                     

	  Admissions and Discharge Records                        6                          

 G        Appointment Books - Clinics, Laboratory,  Hospital      2                          
	  Therapy, and X-ray                                                                 

	  Attendance Reports:  See Section V                                                 

 G        Bacteriological Testing of Ice            Hospital      2                          

 G        Birth Records and Certificates            Hospital      Permanent                  

 G        Birth Room Record - List from Maternity   Hospital      Permanent                  
	  Department                                                                         

 G        Blood Donor Histories                     Hospital      7                          

 G        Blood Transfusions                        Hospital      10, except                 
								  for minors                 

	  Budget Documents:  See Section III                                                 

	  Business and Financial Records:  See Section III                                

 G        Census                                    Hospital      6                          

 G        Controlled Substances                     Hospital                                 

	  Alcohol (Tax Free) Inventory and                        6                          
	  others, Form 1451                                       2                          
	  Narcotics Inventory                                     3                          
	  Methadone Dispensing - Record of Drug                                             
	  Dispensed                                               3                          
	     for Each Patient                                     3                          
	  Controlled Substances Dispensed                         3                          
	  Prescriptions                                           Permanent                  
	  Radioactive Drugs                                                                 
	  Radioisotopes - Receipt, Transfer, Use,                 2                          
	  Storage,                                                3                          
	     Delivery, Disposal and Reports of                                               
	  Overexposure                                                                       
	   Recall Records                                                                    
	   Inspection by Pharmacist of Emergency                                             
	  Drug                                                                              
	     Supplies (see also Section I)                                                   

 G        Cytology Reports                          Hospital      10                         

 G        Cytology Slides and Cell Blocks           Hospital      5                          

 G        Death Records and Certificates            Hospital      Permanent                  

 G        Diet Patient Cards                        Hospital      0-1 after                  
								  discharge                  

 G        Electrocardiograms                        Hospital      10-25*                     

 G        Electroencephalograms                     Hospital      10-25*                     


(1) Based on California Hospital Association 1984 Records Retention
Recommendations.

*10 to 25 years following last recorded activity, with records
of minors kept for one year past the age of majority, or permanent.  

Record
Type or
Number    Record Title or General Description       Office of     DISPOSITION SCHEDULE IN YEARS     
						    Record        Record Copy   Other Copy          
B. TEACHING AND RESEARCH HOSPITAL (1) (continued)
 G        Employee Health Records - See also        Hospital      5 after                    
	  Section V - Employee Personnel Folder                   termination                
								  of                         
								  employment                 

	  Engineering and Housekeeping - See                                                 
	  Section VI                                                                         

	  Equipment Inspection, Validation,                                                  
	  Repair, and Replacement - See Section VI                                           

 G        Fetal Heart Rate Monitor                  Hospital      10                         

 G        Food Costs                                Hospital      2                          

 G        Food Purchased                            Hospital      1                          

 G        Inhalation Notes                          Hospital      0-5                        

 G        Laboratory Tests                          Hospital                                 
											     
	  Registers                                              10                         
	  Requests for Tests                                     2 weeks                    
	  Results, excluding X-ray, Pathology,                   3 months                   
	  EKG, & EEG                                                                         
	     Tracings                                                                        

 G        Meal Counts                               Hospital      2                          

 G        Medical Records History (see also         Hospital      10-25*                     
	  Patient Record)                                                                    

 G                                                  Hospital      Permanent                  

Medical Staff Records

Physician Files Physicians' Continuing Education Records Physician Agreements Residents, Interns, and Fellows Records Allied Health Professional Files, including Physicians' Assistant and Nurse Practitioners (see Section V) Volunteers (see Volunteer Services) G Medicare and Medi-Cal Records Hospital 3-5 Billing Records Cost Report Record Medical Record Material Hospital Physician Material G Menus Hospital 3 months G Nuclear Medicine Hospital Calibration Records 3 Exposure Records Permanent Film Body Records 6 Radiation Dose Records Permanent Reports of Overexposure Permanent Transfer and Disposal Records Permanent Utilization Records (see Section I) 6 See also Controlled Substances G Nursing Education and Training Hospital 6 G Nursing - Methodology Used to Determine Hospital 1-6 Staffing G Nursing - Private Duty Name File Hospital 6 after last use (1) Based on California Hospital Association 1984 Records Retention Recommendations. *10 to 25 years following last recorded activity, with records of minors kept for one year past the age of majority, or permanent. Record Type or Number Record Title or General Description Office of DISPOSITION SCHEDULE IN YEARS Record Record Copy Other Copy

B. TEACHING AND RESEARCH HOSPITAL (1) (continued)
 G        Pathology                                 Hospital                                 
											    
	   Reports                                                10-25*                     
	   Slides                                                 5-10                       
	   Specimen Records                                       6                          

 G        Patient Medical Records, including Hospital (V)  10-Permanent**             
											     
	   Admission Record                                                                  
	   History                                                                           
	   Physical Examination                                                              
	   Temperature Chart                                                                 
	   Nurses' Notes                                                                     
	   Physicians' Orders                                                                
	   Progress Notes                                                                    
	   Laboratory Reports                                                                
	   Consultation Reports                                                              
	   Summary or Final Diagnosis Signed by                                              
	  Attending                                                                          
	     Physician                                                                       
	   Surgical Report, complete with:                                                   
	     Consent for Operation                                                           
	     Anesthetic Record                                                               
	     Pre-Operative Diagnosis                                                         
	     Operative Procedure                                                             
	     Findings                                                                        
	     Post-Operative Diagnosis                                                        
	     Tissue Diagnosis                                                                
	   Labor Record                                                                      
	   X-ray Reports                                                                     
	   Autopsy, including:                                                               
	     Permission for Autopsy                                                          
	     Autopsy Report                                                                  
	   Card File and/or Index                                                            

	  Payroll Records - See Section V                                                    

	  Personnel Records - See Sections V                                                 

	  Pharmacy Records - See Controlled                                                  
	  Substances                                                                         

	  Prescriptions - See Controlled                                                     
	  Substances                                                                         

	  Purchasing and Receiving Records - See                                             
	  Section III                                                                        

 G        Reports                                   Hospital                                 
											     
	   Accident or Incident                                   6                          
	   Admission or Discharge                                 6                          
	   Annual Reports to State Dept. of Health                Permanent                  
	  Services                                                Permanent                  
	   Appraisal                                              3                          
	   Communicable Disease Reports to State                                             
	  and Local                                               10                         
	     Health Departments                                   Permanent                  
	   Emergency Room                                         3                          
	   Hospital Infection Control Committee                                              
	   Inspection Reports by Local, State, or                 Permanent                  
	  Federal                                                 6                          
	     Agencies                                             2, longer if               
	   Medical Staff Committee                                of                         
	   Psychiatric Reports to State Health                    continuing                 
	  Department                                              interest                   
	   Unusual Occurrences                                                               

 G        Social Services Confidential Case         Hospital      5                          
	  Histories                                                                          

	  Surgery Operating Room Schedule           Hospital      10                         

 G        Surgery, Register of Operations           Hospital      10-Permanent               

 G        Surveys                                   Hospital      3                          

 G        Therapy Treatment Records when not        Hospital                                 
	  included in Patient Records                                                        
											     
	   Inpatients                                             10-25*                     
	   Outpatients                                            10-25*                     

 G        Tumor Registry Files                      Hospital      Permanent                  

 G        Volunteer Services - Certification of     Hospital      2 after                    
	  Hospital Workers, and Other Records                     termination                

 G        Welfare Agency Records                    Hospital      7                          

 G        X-ray Films                               Hospital      10-25*                     

(1) Based on California Hospital Association 1984 Records Retention
Recommendations.

*10 to 25 years following last recorded activity, with records
of minors kept for one year past the age of majority, or permanent.  

**10 years or more following last recorded activity, but records
of minors must be kept for one year past the age of majority.