1. (1)(a) The facility shall establish a system for collecting and periodic reporting of mammography examinations and clinical follow-up.

   1. (b) Clinical follow-up data shall include the follow-up on the disposition of positive mammographic findings and the correlation of the surgical biopsy results with mammogram reports.
   2. (c) The facility shall maintain records correlating any positive mammographic findings to biopsies done and the number of cancers detected.
   3. (d) The facility shall report the results of the outcomes annually to OL in a format provided by OL.

   4. (e) The report shall include at least the:

      1. (i) number and names of any patients with positive mammographic findings lost to follow-up;
      2. (ii) number of patients receiving screening mammograms;
      3. (iii) total number of patients diagnosed with breast cancer based on a screening mammogram; and
      4. (iv) total number of patients recommended for biopsy based on a screening mammogram.
2. (2) OL shall provide each reporting facility, on a schedule determined by OL, summary statistical reports that permit each facility to compare results to statewide and other comparative statistics.

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)