AGENCY: Department of Health and Human Services. Division of Family Health. Office of Maternal and Child Health

SERIES: 80846
TITLE: Patient master file
DATES: 1987-
ARRANGEMENT: none

DESCRIPTION: This file contains the demographic, diagnostic, clinic and provider visit information about Child Health Services patients. It includes the date of application; the patient number; the source of referral; the patient's name, residence, date of birth, race, sex, social security number, and marital status; insurance information; the parents' ages and education; the state and county code numbers; if the case is closed, the reason and the date; a record of visits and services; the costs of services; physical examination information; diagnoses; and the risk profile. This is a master file of automated data system, file key: NFPDS.

RETENTION

Retain for 3 month(s) after superseded

DISPOSITION

Destroy.

RETENTION AND DISPOSITION AUTHORIZATION

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

APPROVED: 06/1987

FORMAT MANAGEMENT

Computer magnetic storage media: Retain in Office for 3 months after updated and then erase.

APPRAISAL

Administrative

This record is updated quarterly. Once the update has been made, the old information can be destroyed.

PRIMARY DESIGNATION

Private

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