1. (1)(a) Each facility shall maintain a medical record for each patient who receives a screening or diagnostic mammography.

   1. (b) The facility shall provide for the filing, safe storage, and accessibility of medical records and ensure that each medical record is:

      1. (i) protected against loss, defacement, tampering, fire, and flooding;
      2. (ii) protected against access by any unauthorized individual; and

      3. (iii) readily available upon the request of:

         1. (A) any person authorized by written consent;
         2. (B) any authorized representative of the department; or
         3. (C) the attending physician.

2. (2)(a) The facility shall establish a system to ensure each patient's mammogram is accessible for clinical follow-up when requested.

   1. (b)(i) Within 14 business days of receiving a request for information from an individual responsible for subsequent medical care of the patient, the facility shall send a copy of the mammogram and other appropriate information to the requesting individual.

      1. (ii) Medical information may be released only upon the written consent of the patient or the patient's legal representative.
3. (3) The facility shall try to obtain a previous mammogram for each patient if the previous mammogram is necessary for a physician to interpret the current exam.

4. (4)(a) The interpreting physician shall prepare and sign a written report of the interpretation of the results of the screening mammogram.

   1. (b) The written report shall include a description of any detected abnormality and each recommendation for a subsequent follow-up study.
   2. (c) The interpreting physician shall complete the report as soon as reasonably possible.
   3. (d) The interpreting physician or designee shall document and communicate the results of the report to the referring physician or designated representative by any method that verifies receipt of the report.
   4. (e) The interpreting physician or designee shall notify each patient who does not have a referring physician of the results of the report in language that is easily understood.
5. (5) The interpreting physician or designee shall document and communicate the results of each diagnostic report that has a high probability, or suspicion, of breast cancer to the referring physician or the designated representative by any method that verifies receipt of the information.

6. (6)(a) If the report in Subsection (5) is for a patient who does not have a referring physician, the results of that report shall be communicated in-person using language that is easily understood.

   1. (b) The report shall state whether the patient needs to consult with a physician.
   2. (c) The interpreting physician or designee shall try to make follow-up contact with the patient to determine whether that patient has consulted a physician for follow-up care.
   3. (d) The interpreting physician or designee shall document in the patient's medical record each attempt to communicate the results to the patient.
7. (7) The facility shall keep the original and subsequent mammograms for at least five years from the date of a procedure.

KEY: health care facilities, mammography

Date of Last Change: June 5, 2026

Notice of Continuation: August 13, 2021

Authorizing, and Implemented or Interpreted Law: 26B-2-202; 26B-2-602; 42 U.S.C. 263b; 21 CFR 900.12(c)(2)