Unit Medical Record (UMR) Policy Term Definition

The official UTMB legal medical record maintained by the Department of Health Information Management (HIM) that contains UTMB’s original/official patient care information.  The UMR is designed to contain the written interpretations of all significant clinical information gathered for a given patient, whether as an inpatient, outpatient, or emergency care patient. The entire patient’s medical record is thus in paper and /or electronic form under one hospital number. UMR’s have a permanent retention schedule.