Legacy patient records

Extent:

13.8 Linear Feet

Scope and content:

The University of Virginia Hospital Record Books document patient care, hospital administration, and clinical operations from 1907 to 2019. This series contains record books used by the University of Virginia Hospital to record hospital admissions, student and staff listings, patient information, and medical services and procedures for various hospital departments. In addition to record books, the collection holds papers, including annual reports, budget materials, case histories, operative notes, and statistics.

The collection includes:

• Admission and discharge registers • Patient record books from clinical departments • Surgical casebooks and operating room records • Mortuary registers • Pharmacy records • Pathology department reports and autopsy records • Nursing staff and student roll books • Thoracic and cardiovascular surgery operation notebooks • Departmental reports, statistics, and administrative materials • Autopsy logbooks

These records document diagnoses, treatments, surgical procedures, patient demographics, hospital staffing, and clinical outcomes. The collection provides insight into medical practice, hospital administration, and healthcare delivery at the University of Virginia Hospital during the 20th centry.

The collection has been organized into thirteen series, reflecting the departmental divisions of the hospital and the subject areas of the various records:

Series 1: Admissions Books Series 2: Alcohol Book Series 3: Department of Clinical Pathology Materials Series 4: Eye, Ear, Nose, and Throat Department Patient Record Book Series 5: Department of Medicine Patient Record Books Series 6: Mortuary Books Series 7: Operating Department Record Books Series 8: Department of Pathology Materials Series 9: Pharmacy Book Series 10: Roll Books Series 11: Surgical Department Casebooks Series 12: Department of Surgery Materials Series 13: Thoracic Cardiovascular Surgery Operations Notebooks

Series 1: Admissions Books (1907-1914) Recording admissions and discharges for 10,050 patients. Includes patient name, race, age, ward assignment, occupation, diagnosis, outcome, date of discharge, physician, charges, and patient number.

Book 1, 1907 September 1 -1911 August 13; 17" x 14.5"; 408 pages. Book 2, 1911 August 15 - 1914 April 12; 17" x 14.5 "; 406 pages.

Series 2: Alcohol Book (1924-1925) Recording date, quantity, kind, where used, and approval.

Book 1, 1924 December 1 - 1925 May 31; 10" x 8"; 152 pages; pp. 32 -152 blank.

Series 3: Department of Clinical Pathology Materials (1932-1971) Administrative and financial reports, as well as miscellaneous records relating to applications and persons affiliated with the Medical Center.

Folder 1-- AMA, AAMC Accreditation Recommendation Report Extracts, 1964 July 17. Folder 2-- Annual Reports, 1932 January 6 - 1939 January 20. Folder 3-- Annual Reports, 1940 January 20 - 1949 January 20. Folder 4-- Annual Reports, 1950 January 14 - 1959 January. Folder 5-- Annual Reports, 1960 January - 1969 January. Folder 6-- Annual Reports, 1970 - 1971 January. Folder 7-- Budget Statements and Projections, 1952 - 1962 academic years. Folder 8--Joy Austin Medical Technology Award Application, n.d. Folder 9-- Obituary and Related Materials for William Edward Bray, 1959 October 6 and [1959].

Series 4: Eye, Ear, Nose, and Throat Department Patient Record Book (1920-1924) Recording date, patient number, house number, ward assignment, name, diagnosis, and remarks for 2623 patients.

Book 1, 1920 July 20 - 1924 August 25; 14.25" x 11.5"; 216 pages; pp. 72 - 216 blank.

Series 5: Department of Medicine Patient Record Books (1915-1925) Recording date, medical number, house number, ward assignment, name, diagnosis, and remarks for 11,559 patients.

Book 1, 1915 November 29 - 1919 May 17; 14" x 6"; 218 pages. Book 2, 1919 May 17 - 1922 September 25; 14" x 6"; 220 pages. Book 3, 1921 September 2 - 1925 March 1; 14" x 6"; 216 pages; pp. 196 - 216 blank.

Series 6: Mortuary Books (1929-1937) Recording date, name, time of death, ward or service, physician pronouncing death, circumstances of death, notification of relatives, release of body to individual or funeral home, death certificate.

Book 1, 1929 October 24 - 1930 September 8; 9.5" x 7.75"; 152 pages; even numbers blank. Book 2, 1930 September 9 - 1931 September 12; 9.5" x 7.75"; 152 pages; even numbers blank. Book 3, 1932 September 4 - 1934 January 6; 9.5" x 7.75"; 152 pages; even numbers blank. Book 4, 1934 January 6 - 1935 March 25; 9.5" x 7.75"; 152 pages; even numbers blank. Book 5, 1935 March 26 - 1937 June 16; 9.5" x 7.75"; 152 pages; even numbers blank.

Series 7: Operating Department Record Books (1908-1937) Recording date, name, operation, surgeon, and anesthesia. Entries for general surgery after December 19 31 contain in addition ward assignment and nurse. Entries for Eye, Ear, Nose, and Throat surgery after February 1932 contain in addition history number, ward assignment, assistant surgeon, anesthetist, and nurse.

General Surgery Books (1908-1932). Book 1, 1908 September 1 - 1910 December 30; 10" x 7.75"; 200 pages. Book 2, 1911 January 2 - 1913 November 27; 8.75" x 7.5"; 300 pages. Book 3, 1913 November 28 - 1916 March 24; 10.5" x 8.25"; 296 pages. Book 4, 1917 November 2 - 1919 May 6; 10.5" x 8.25"; 300 pages. Book 5, 1919 May 8 - 1920 May 31; 10" x 8"; 300 pages. Book 6, 1920 June 1 - 1921 May 28; 10" x 8"; 300 pages. Book 7, 1921 May 29 - 1922 April 15; 10" x 8"; 298 pages. Book 8, 1922 April 15 - 1923 May 18; 1 O" x 8"; 300 pages. Book 9, 1923 May 18 - 1924 July 16; 10" x 8"; 298 pages. Book 10, 1924 July 17 - 1925 October 31; 10" x 8"; 300 pages. Book 11, 1925 November 1 - 1927 February 7; 10" x 8"; 300 pages. Book 12, 1929 October 17 - 1932 February 28; 10" x 8.25"; 300 pages. Eye, Ear, Nose, and Throat (EEN1) Surgery Books (1917-1937). Book 1, 1917 January 2-1926 January 13; 10" x 7.75"; 200 pages; pp. 172 - 200 blank. Book 2, 1930 November 29 -1934 December 22; 10" x 8.25"; 300 pages. Book 3, 1934 December 24-1937 December 31; 9.75" x 8.25"; 300 pages.

Series 8: Department of Pathology Materials (1909-1958) Administrative and financial reports, as well as miscellaneous records relating to applications and persons affiliated with the Medical Center.

Folder l-- James R. Cash, Mss for the Bulletin of the UV A Medical School and Hospital III (Sprmg 1947) 2: 11, 22. Folder 2-- Annual Reports, 1932January 15 -1939 February 8. Folder 3-- Annual Reports, 1940 January 25 - 1949 January 20. Folder 4-- Annual Report, 1958 December. Folder 5-- Autopsy Records and Statistical Report 1906-1929, 1909 [February?] - 1929 [April?]. Folder 6-- Budget Statements and Projections, 1946 academic year. Folder 7-- Budgetary Materials, 1929 -1950, n.d. Folder 8-- Examinations (questions and one answer book), 1932 March 26 - 1944 March 16 Folder 9-- Miscellaneous, n.d. Folder 10-- Statistics - Deaths and Autopsies, 1923 - 1949, n.d. Folder 11-- J[ames] R. Cash, Status Report [incomplete], n.d. Folder 12-- University of Virginia Hospital, Administrative - Technical Personnel Salary Proposal, by Department, n.d.

Series 9: Pharmacy Book (1909-1911) Recording prescriptions and dosage directions, patient's name and ordering physician.

Book 1, 1909 May 27 -1911 April 26; 15.75" x 11"; 600 pages.

Series 10: Roll Books (1922-1966) Recording attendance for Hospital Staff nurses, Convalescent Home Staff nurses, Temporary nurses, Student nurses by class, and Practical Nursing students.

Staff Roll Books (1939-1966) Book 1-- 1939 October 1 - 1940 November 30; 10.5" x 8.5"; 300 pages. Book 2-- 1941 December 1 - 1943 December 31; 10.5" x 8.5"; 300 pages. Book 3-- 1944 January 1 - 1946 Februaty 3; 10.5" x 8.5"; 300 pages. Book 4-- 1946 February 1 - 1947 September 30; 10.5" x 8.5"; 300 pages. Book 5-- 1947 October 1 - 1948 December 31; 10.5" x 8.5"; 300 pages. Book 6-- 1949 January 1 - 1950 February 28; 10.5" x 8.5"; 300 pages. Book 7-- 1950 March 1 - 1951 April 30; 10.5" x 8.5"; 300 pages. Book 8-- 1951 May 1 -1952June 1; 10.5" x 8.5"; 300 pages. Book 9-- 1952June 1 - 1953 June 30; 10.5" x 8.5''; 300 pages. Book 10-- 1953 July 1 - 1954 July 31; 10.5" x 8.5"; 300 pages. Book 11-- 1954 August 1 - 1954 July 31; 10.5" x 8.5"; 300 pages. Book 12-- 1955 November 1 - 1957 March 31; 10.5" x 8.5"; 300 pages. Book 13-- 1957 April 1 -1958 August 31; 10.5" x 8.5"; 300 pages. Book 14-- 1958 September 1 - 1959 August 31; 10.5" x 8.5"; 300 pages. Book 15-- 1959 September 1 - 1960 July 31; 10.5" x 8.5"; 300 pages. Book 16-- 1960 August 1 - 1961 June 30; 10.5" x 8.5"; 300 pages. Book 17-- 1961 July 1 - 1962 May 31; 10.5" x 8.5"; 300 pages. Book 18-- 1962June 1 - 1963 April 30; 10.5" x 8.5"; 300 pages. Book 19-- 1963 May 1 - 1964 February 29; 10.5" x 8.5"; 300 pages. Book 20-- 1964 March 1 - 1964 November 30; 10.5" x 8.5"; 300 pages. Book 21-- 1964 December 1 - 1965 August 31; 10.5" x 8.5"; 300 pages. Book 22-- 1965 September 1 - 1966 April 30; 10.5" x 8.5"; 300 pages. Book 23-- 1966 May 1 - 1966 December 31; 10.5" x 8.5"; 300 pages.

Rucker Children's Convalescent Home Nursing Service Roll Book (1942-1949) Book 1, 1942 June 1 - 1949 August 31; 10.5" x 8.5"; 300 pages.

Temporary Payroll Roll Book (1954-1956) Book 1, 1954 July 1 - 1956 August 25; 10.5" x 8.5"; 300 pages.

Student Nurse Roll Books (1922-1966) Book 1, 1922 April 1 - 1925 July 31; 10.5" x 8.5"; 300 pages. Book 2, 1925 August 1 - 1928 January 31; 10.5" x 8.5"; 300 pages. Book 3, 1928 February 1 - 1930 September 30; 10.5" x 8.5"; 300 pages. Book 4, 1930 October 1 - 1932 November 30; 10.5" x 8.5"; 300 pages. Book 5, 1932 December 1 - 193.5 January 31; 10.5" x 8.5"; 300 pages. Book 6, 1935 February 1 - 1936 December 31; 10.5" x 8.5"; 300 pages. Book 7, 1937 January 1 - 1938 April 30; 10.5" x 8.5"; 300 pages. Book 8, 1938 May 1 - 1939 September 30; 10.5" x 8.5"; 300 pages. Book 9, 1940 December 1 - 1941 December 31; 10.5" x 8.5"; 300 pages. Book 10, 1942January 1 -1943 January 15; 10.5" x 8.5"; 300 pages. Book 11, 1943 January 1 - 1943 December 31; 10.5" x 8.5"; 300 pages. Book 12, 1944 January 1 - 1944 November 30; 10.5" x 8.5"; 300 pages. Book 13, 1944 December 1 - 1945 September 30; 10.5" x 8.5"; 300 pages. Book 14, 1945 October 1 - 1946 September 30; 10.5" x 8.5"; 300 pages. Book 15, 1946 October 1 - 1947 December 31; 10.5" x 8.5"; 300 pages. Book 16, 1948 January 1 - 1949 April 30; 10.5" x 8.5"; 300 pages. Book 17, 1949 May 1 - 1950 June 30; 10.5" x 8.5"; 300 pages. Book 18, 1950 July 1 - 1951 August 31; 10.5" x 8.5"; 300 pages. Book 19, 1951 September 1 - 1952 October 31; 10.5" x 8.5"; 300 pages. Book 20, 1952 November 1 - 1953 November 30; 10.5" x 8.5"; 300 pages. Book 21, 1953 December 1 - 1954 November 30; 10.5" x 8.5"; 300 pages. Book 22, 1954 December 1 - 1955 November 30; 10.5" x 8.5"; 300 pages. Book 23, 1955 December 1 - 1956 January 31; 10.5" x 8.5"; 300 pages, many pages blank. Book 24, 1958 May 1 - 1959 May 31; 10.5" x 8.5"; 300 pages. Book 25, 1959 June 1 - 1962 April 22; 10.5" x 8.5"; 300 pages. Book 26, 1962 April 2 - 1966 December 11; 10.5" x 8.5"; 300 pages.

Practical Nursing Students Roll Book (1952-1966) Book 1, 1952 June 30 -1966 February 24; 10.5" x 8.5"; 300 pages.

Series 11: Surgical Department Casebooks (1907-1925) Recording date, surgical number, house number, ward, name, diagnosis, and remarks for 28,021 patients.

Book 1-- 1907 September 4-1912 February 7; 14.25" x 6"; 220 pages. Book 2-- 1912 February 7-1915 January 11; 14.25" x 6"; 216 pages. Book 3--1915 January 12-1917 April 17; 14.25" x 6"; 220 pages. Book 4-- 1917 April 17-1919 July 30; 14.25" x 6"; 220 pages. Book 5--1919 July 30-1921 July 23; 14.25" x 6"; 218 pages. Book 6--1921 July 23-1923 May 19; 14.25" x 6"; 221 pages. Book 7--1923 May 19-1925 August 25; 14.25" x6"; 235 pages, pp. 20-23, 217-220, 225-235 blank.

Series 12: Department of Surgery Materials (1959-1995) Comprising case histories, operative notes, and department statistics. Stanton P. Nolan donation.

Folder 1, Case histories and operative notes, Cardiovascular Surgery and Thoracic Surgery, 1962 June 26 - 1965 January 22. Folder 2, Case histories and operative notes, General Surgery, 1959 August 8 -1961 April 25. Folder 3, Case histories and operative notes, General Surgery, 1963 October 4 - 1963 December 31, n.d. Folder 4, Case histories and operative notes, General Surgery, 1964 July 2 - 1965 June 18, n.d. Folder 5, Case histories and operative notes, Plastic Surgery, 1964 April 17 - 1964 July 7. Folder 6, Case histories and operative notes, Thoracic-Cardiovascular Surgery, 1965 January 19 - 1966 June 21, n.d. Folder 7, Semi-annual Report, Thoracic-Cardiovascular Service,July 1, 1966 to December 31, 1966, [1967]. Folder 8, Statistical Analysis, Thoracic Cardiovascular Surgery (1968-1988), 1982 October - 1989. Folder 9, Statistics, Thoracic Cardiovascular Surgery, 1972-1979 academic years. Folder 10, Statistics, Thoracic Cardiovascular Surgery, 1980-1989 academic years. Folder 11, Statistics, Statistics, Thoracic Cardiovascular Surgery, 1990-1995 academic years.

Series 13: Thoracic Cardiovascular Surgery Operations Notebooks (19 54-1977) Recording date, name, history number, age, operation, surgeon, and results for various heart surgeries, vascular and general surgeries, and pump operations. Compiled by William H. Muller, Jr. Stanton P. Nolan donation.

Book 1, Heart Surgery (Anomalous Venour Return, Aortic Insufficiency, Aortic Stenosis, Atrioventricularis communis defect, Cardiac Pacemaker), 1955 February 2 - 197 6 September 29.

Book 2 [Evidently originally intended to be book 3], Heart Surgery (Patent Ductus Arteriosus, Pulmonic Stenosis, Pentalogy of Fallot, Single Ventricle with Pulmonary Stenosis, Tetralogy of Fallot, Transposition of Pulmonary Arteries and the Aorta, Tricuspid Atresia, Tricuspid Insufficiency, Truncus Arteriosus, Tumors of the Heart), 1955 January 6 - 1975 March 28.

Book 3 [Evidently originally intended to be book 2], Heart Surgery (Cardiac Surgery Miscellaneous, Coarctation of Aorta, Creation of Pulmonary Stenosis, Coronary Artery Insufficiency, Interatrial Septal Defect, Interventricular Septal Defect, Marfan's Syndrome, Mitral Insufficiency, Mitral Stenosis), 1954 June 15 - 1976 April 19.

Book 4, Vascular and General Surgery (Aneurysms, Aneurysms - Dissecting, Arterial Obliterative Disease, Arteriovenous Fistula, Biopsies, Embolectomy, Endarterectomy, Hernia), 1954 November 9 - 1976 November 12.

Book 5, Vascular and General Surgery (Miscellaneous Esophagus & Abdominal, Miscellaneous Extremities, Miscellaneous Head & Neck, Miscellaneous Thoracic Area, Portocaval Shunt, Renal Artery Stenosis, Sympathectomy, Thrombectomy, Thyroid Vascular Misc., Thymectomies, Vascular - miscellaneous), 1954 December 9 - 1977 January 20.

Book 6, Pump Operations, 1956 September 26 - 1976 May 4.

(no series number) UVA Health Pathology Autopsy Books, c. 1950s-1961

There are 5 books total. All have very minimal information: date, name, race, sex, age, autopsy number, prosector name, disposition, date/time of death, ward and service, date and time of autopsy, and diagnosis. Some of the info changes slightly from one book to the next, but this is mostly consistent. About 25-30 names appear on each page.

Book 1: 4/2/1956-9/3/1961; 7.75" x 10"; 152 pages. Book 2: 8/3/1961-6/9/1966; 7.75" x 10"; 152 pages. Book 3: 6/10/1966-9/28/1967; 7.5" x 9.75"; 26 pages; the rest are blank. Book 4: 9/28/1967-8/28/1972; 8" x 10.5"; 152 pages. Book 5: 7/29/1988-1/2/1997; a few pages undated

Biographical / historical:

Established in 1901, the University of Virginia Hospital opened with a single structure incorporating an operating theater, solarium, laboratories, and accommodations for the superintendent and student nurses. In 1902, beds for 25 patients were installed. Two pavilion wings, added in 1905 and 1907 to each side of the main building, contained large wards for patients, a small number of private rooms, storage and kitchen facilities, and interns' quarters.

Expansion of the physical plant resumed in 1916 with the completion of the Steele Wing to the north of the 1907 pavilion. The largest building to date, the Steele Wing doubled the capacity of the hospital and accommodated in its basement the Outpatient Department, relocated from another nearby structure. In 1924, the McIntire Wing was built to the south of the 1905 pavilion, containing obstetrical and pediatric services and interns' quarters. To the south of the McIntire Wing, the Teachers' Preventorium of 1928 was opened to provide low-cost healthcare for the state's teachers. The next year a substantial addition to the Hospital complex—incorporating the existing Steele Wing—was erected to house the Medical School.

Steadily increasing usage of medical services throughout the years of the Depression put considerable pressure on the Hospital's facilities. Consequently, over the decade of the 1930s and the first years of the 1940s, the Hospital raised funds for substantial building campaigns to expand and modernize the complex. The first of these buildings was McKim Hall, for the Nursing School. Begun just before the Depression, in 1929, McKim was completed in 1931.

The second building campaign involved the construction of an addition to the west side of the McIntire Wing. This large structure, completed in 1936, was dedicated to Dr. Paul B. Barringer, who had been instrumental in the founding of the Hospital. The Barringer Wing contained an additional obstetrical ward and rooms for private patients. In 1939, the third building campaign resulted in the extensive renovation of the Teachers' Preventorium. Two floors with an attic and roof deck were constructed on top of the existing structure, as well as a five-story section added to the west end. These modifications housed the John Staige Davis Department of Neurology and Psychiatry. Shortly after the completion of the Davis Wards, the Hospital added a residential facility for interns, the fourth new construction project. The House Staff Quarters, as this building came to be known, opened in 1941; it was destroyed in 1986 to make way for the link to the present main Hospital building.

The final and most extensive building campaign of this decade-long period was the construction of the West Wing in 1941. This new building stood in the open space directly in front of the original Hospital building and its two adjacent wings, and was directly connected to all three structures. In addition to providing more functional administrative and storage spaces, the West Wing included new wards for Obstetrics and Gynecology, Surgery, Internal Medicine, Otolaryngology, and Ophthalmology. Perhaps most important, however, were the improved facilities for surgery. Six new operating rooms with related work spaces tripled the capacity of the Hospital's surgical service, and made possible for the first time night staffing of general surgery.

Also in 1941, William J. Rucker provided funding for the establishment of a Home for Convalescent Children in a turn-of-the-century residence called "West Cairns," sited on a nine-acre estate one mile west of the University Hospital. The Rucker Home opened the next year under the auspices of the Department of Orthopedics, and was ultimately replaced by a larger and more modern facility in 1956-1957, rechristened the Children's Rehabilitation Center.

In January 1958, the Virginia General Assembly released funds for the construction of a new multi-story hospital building, completed in November 1960. Supplemental expansions during this time involved new patient care, research, and administrative facilities, including an infill project behind the West Wing, requiring the demolition of all but the rear portions of the original Hospital Pavilion and the 1907 wing. Subsequent expansion in the 1970s included the construction of new buildings for the medical and nursing schools and additional outpatient facilities, and on March 20, 1989, the University dedicated a new main hospital building, the third such structure since 1901.

With the completion of the first building complex in 1907, the University of Virginia Hospital began recording patient information in a series of folios, including volumes on admissions and discharges, operating department records, surgical casebooks, and pharmacy records. These materials provide a valuable sampling of patient care diagnoses, treatments, and costs principally during the first and second decades of the hospital's operation. Additional similar materials extending into the hospital's third and fourth decades comprise records from the Department of Medicine; Eye, Ear, Nose, and Throat (EENT)surgical procedures; and death records (Mortuary Books). Materials from the Departments of Pathology and Clinical Pathology (1910 - 1970), include budget statements, statistical reports, and autopsy records. An extensive collection of Roll Books (1922 - 1966) concern nursing staff and student nurses at the hospital, and nurses at the Rucker Children's Convalescent Home, practical nursing students, and temporary hires. A supplemental deposit (1954 - 1995) comprises case histories from various thoracic and cardiovascular surgeries as well as department statistics, kept by Dr. William H. Muller, Jr.

Processing information:

The collection was processed and entered into the Department's Manuscripts database (Access) in June and July of 2002. Processed by Hal Sharp of the Historical Collections and Services Department.

Subjects:

University of Virginia
Medical libraries

Places:

Medical Records

Access and use

Contents