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These records document planning activities and building projects undertaken during Louis E. Swanson's tenure as chairman of the Medical Center Building Committee beginning in 1952; as assistant administrative director of medical center (with overall charge of the building program) from 1964 to 1967, and as the first director of the Medical Center Planning Office from 1967 to 1976. The records consists of correspondence, memoranda, committee minutes and reports, and planning documents in the form of long range planning summaries, multi-volume development proposals commissioned from prominent architectural and management consulting firms, photographs, building and site plans, diagrams, and blueprints generated between 1952 and 1976. Materials date from 1952 to 1977.

Consists of committee meeting minutes, correspondence, memoranda, and other materials related to several named building and renovation projects administered by Jane Elchlepp, associate professor of pathology and the first assistant dean for planning (1965-1969). Materials date from 1962 to 1969.

Documents several long-range planning initiatives during the period 1952 to 1998, mainly in the form of reports by the such noted consulting firms as James A. Hamilton Associates, Hospital Consultants (1952); Booz, Allen & Hamilton, Management Consultants (1961); E. Todd Wheeler and Perkins & Will, Architects (1962); Caudill, Rowlett and Scott (1963); and American Health Facilities, Inc. (1973). The series culminates in the 1991 Long Range Plan and subsequent progress reports advancing the model of an "integrated academic health system." This model was formalized in 1997 by the incorporation of Duke University Health System, Inc., as a fully-owned subsidiary of Duke University. Materials date from 1952 to 1998.