AGENCY: Department of Health. Bureau of Communicable Disease Control

SERIES: 17470
TITLE: Human Immunodeficiency Virus negative patient worksheets
DATES: 1981-2009.
ARRANGEMENT: Chronological, thereunder alphabetical by clinic site location, thereunder by patient surname

DESCRIPTION: These negative worksheets are completed by local health department clinics during counseling sessions with patients being tested for the Human Immunodeficiency Virus (HIV). Since 1987, the worksheet has been used to gather demographic information which is entered into the data base of the Bureau of HIV/AIDS Prevention and Control. Prior to 1987, a shorter, less informative worksheet was used. The bureau reports a summary of the demographic data to the National Center for Disease Control which tracks transmission of the HIV virus and Acquired Immune Deficiency Syndrome (AIDS). The data is also helpful in estimating the risk of developing AIDS. Knowledge of a patient's testing history helps the bureau track the time frame of a patient's exposure to the HIV virus (the time between negative and positive test results), which helps the bureau identify others at risk of contracting and transmitting AIDS. The number of HIV transmissions is recorded in the epidemiology newsletter published by the Department of Health. Worksheet information includes the patient's name, age, race, marital status, address (optional), zip code, prior testing, whether blood was drawn, sexual preference, symptoms, preventative measures used by patient, test information, risk information, and counselor's notes.

RETENTION

DISPOSITION

RETENTION AND DISPOSITION AUTHORIZATION

Retention and disposition for this series were specifically approved by the State Records Committee.

APPROVED: 04/1996

FORMAT MANAGEMENT

Paper: Retain in Office for 3 years after patient testing and then destroy.

APPRAISAL

Administrative

This disposition is based on the administrative needs expressed by the agency. Negative HIV worksheets can be destroyed after three years. Series 9677, Human Immunodeficiency Virus positive patient worksheets are permanent.

PRIMARY DESIGNATION

Exempt. UCA 26-25a-101 (2008) governs information regarding communicable or reportable disease.