Permanent Medical Record

A file identified by an animal’s clinical number that contains all health, surgical, and/or procedural records generated for an animal. This includes:

• Animal Treatment Report (ATR)
  • For some animals (rodents) the entirety of the permanent medical record is captured in the ATR.
  • Refer to the Animal Care Identification and Communication Procedures.
• Anesthesia or sedation monitoring forms. Refer to:
  • Guidelines on the Performance of Surgery in Non-Rodent Mammals
  • Anesthesia and Sedation Monitoring Guidelines
• Surgery report (drafted by veterinary staff for clinically-indicated surgeries)
• Post-operative records. Refer to:
  • Guidelines on the Performance of Surgery in Non-Rodent Mammals
  • Guidelines on the Performance of Surgery in Rodents
• Diagnostic test results: e.g., CBC/chemistry, urinalysis, culture and sensitivity, serology, etc.
• Radiographs
• Master problem list
• Necropsy report
• Non-human primate alopecia score sheets. Refer to:
  • Evaluation of Alopecia in Nonhuman Primates
• USDA number (dogs/cats). Refer to:
  • Procedures for Canine Quarantine and Conditioning
  • Procedures for Feline Quarantine and Conditioning
• Acquisition and disposition records (dogs/cats)