ARM 37.8.1802. REQUIRED RECORDS, INITIAL ADMISSION AND TREATMENT

(1) Whenever a hospital initially provides medical services to any patient relating to a tumor designated as reportable by ARM 37.8.1801, it must collect, record and make available to the department the following information about that patient: (a) name and current address of patient; (b) patient's address at time of diagnosis; (c) social security number; (d) name of spouse, if any; (e) phone number; (f) race, sex, marital status and religion (optional) ; (g) age at diagnosis, place of birth and month, day and year of birth; (h) name, address and phone number of friend or relative to act as contact, plus relationship of that contact to patient; (i) date and place of initial diagnosis; (j) primary site of tumor (paired organ) ; (k) sequence of primary tumors if more than one; (l) other primary tumors; (m) method of confirming diagnosis; (n) histology, including dates, place, histologic type and slide number; (o) summary staging, including whether in situ, localized, regional, distant or unstaged, with no information; (p) description of tumor and its spread, if any, including size in centimeters, number of positive nodes, number of nodes examined and site of distant metastases; (q) whether American joint committee on cancer (AJCC) staging is utilized, and if so, the findings of the staging; (r) cumulative summary of all therapy directed at the subject tumor, including: (i) date of therapy; (ii) specific type of surgery or radiation therapy, if any; and details of chemical, hormonal or other kinds of treatment; and (iii) if no therapy given, reason for lack of therapy; (s) status at time of latest recorded information, i.e., whether alive or dead, tumor in evidence or recurring or status unknown; (t) if recurrence of tumor, type and distant sites of first recurrence; (u) names of physicians primarily and secondarily responsible for follow up; (v) date of each follow up; and (w) if patient has died, date of death, place, cause and whether autopsy performed.