Home > 1997 Privacy Act Documents > Privacy Act: [A0040-905 DASG]...Privacy Act: [A0040-905 DASG]...
The Army's rules for accessing records and for contesting
contents and appealing initial agency determinations are contained in
Army Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
From the applicant, his/her commanding officer, FHA, and other
government records.
Exemptions claimed for the system:
None.
#..A0040 DASG
#....System name:
Medical Facility Administration Records.
System location:
Medical centers, hospitals, and health clinics. Official mailing
addresses are published as an appendix to the Army's compilation of
systems of records notices.
Categories of individuals covered by the system:
Individuals who are authorized to use services of an Army medical
facility.
Categories of records in the system:
Information in this system generally relates to administration at
a medical facility, as opposed to an individual's health/care.
Typically, records comprise scheduling of appointments, medical
history data used to locate medical records, individual's name,
Social Security Number, birth, death, accountability of patients
(e.g., bad charts; transfer, leave requests, etc.); receipts for
patients' personal property, prescriptions for medications,
eyeglasses, hearing aids, prosthetic devices, diet/special
nourishment plans, blood donor records, charges, receipts and
accounting, documents of payments for medical/dental services;
register number assigned; Social Security Number, and similar
records/reports.
Authority for maintenance of the system:
5 U.S.C. 301, Departmental Regulations; 10 U.S.C. 3013; and E.O.
9397 (SSN).
Purpose(s):
To locate medical records and personnel, schedule appointments;
provide research and statistical data.
To enhance efficient management practices and effective patient
administration.
Routine uses of records maintained in the system, including
categories of users and the purposes of such uses:
In addition to those disclosures generally permitted under 5
U.S.C. 552a(b) of the Privacy Act, these records or information
contained therein may specifically be disclosed outside the DoD as a
routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
Birth records are disclosed to states' Bureau of Vital Statistics
and overseas birth records are disclosed to the Department of State
to provide the official certificates of birth. Birth records may also
be used for statistical purposes.
Death records are disclosed to federal, state and private sector
authorities to provide the official certificates of death. Death
records may also be used for statistical purposes.
The `Blanket Routine Uses' set forth at the beginning of the
Army's compilation of systems of records notices also apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Cards; paper records in file holders or other computerized or
machine readable media.
Retrievability:
By individual's surname or Social Security Number.
Safeguards:
Records are maintained within secured buildings in areas
accessible only to persons having official need therefor who are
properly trained and screened. Automated segments are protected by
controlled system passwords governing access to data.
Retention and disposal:
Nominal index files, including register numbers assigned, are
destroyed after 20 years. Records of transient value (e.g., issuance
of spectacles/prosthetics, diet/food plan, etc.) are destroyed within
3 months of patient's release. Other records have varying periods of
retention: Record of birth/death 2 years; patient accountability
(admission/discharge) 5 years; blood donor 5 years or when no longer
needed for medical/legal reasons whichever is longer; record of
patient's personal property 3 years.
System manager(s) and address:
Chief Information Officer, Office of the Surgeon General, U.S.
Army Medical Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam
Houston, TX 78234-6013.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to the Patient Administrator at the medical facility where
service/care was provided. Official mailing addresses are published
as an appendix to the Army's compilation of systems of records
notices.
For verification purposes, individual should provide the full
name, Social Security Number, details which will assist in locating
record, and signature.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to the
Patient Administrator at the medical facility where service/care was
provided. Official mailing addresses are published as an appendix to
the Army's compilation of systems of records notices.
For verification purposes, individual should provide the full
name, Social Security Number, details which will assist in locating
record, and signature.
Contesting record procedures:
The Army's rules for accessing records, and for contesting
contents and appealing initial agency determinations are contained in
Army Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
From the individual; medical facility records and reports.
Exemptions claimed for the system:
None.
#..A0040-1 DASG
#....System name:
Professional Consultant Control Files.
System location:
Office of the Surgeon General, Headquarters, Department of the
Army; U.S. Army Medical Command; U.S. Army Medical Command, Europe;
U.S. Army Medical Command, Korea. Official mailing addresses are
published as an appendix to the Army's compilation of system of
records notices.
Categories of individuals covered by the system:
Any individual who has been appointed as a professional
consultant in the professional medical services.
Categories of records in the system:
Name, Social Security Number, address, curriculum vitae,
appointment, duties, experience, compensation of appointed
consultants.
Authority for maintenance of the system:
10 U.S.C. 3013, Secretary of the Army; 10 U.S.C., Chapter 55,
Medical and Dental Care; Army Regulation 40-1, Composition, Mission,
and Function of The Army Medical Department; and E.O. 9397 (SSN).
Purpose(s):
To evaluate and appoint select individuals as professional
consultants.
Routine uses of records maintained in the system, including
categories of users and the purposes of such uses:
In addition to those disclosures generally permitted under 5
U.S.C. 552a(b) of the Privacy Act, these records or information
contained therein may specifically be disclosed outside the DoD as a
routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
The DoD `Blanket Routine Uses' set forth at the beginning of the
Army's compilation of systems of records notices also apply to this
system of records.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Paper records in file folders.
Retrievability:
By name.
Safeguards:
Records are maintained in secured areas accessible only to
authorized individuals having official need therefore in the
performance of assigned duties.
Retention and disposal:
Records are destroyed 1 year after termination of consultant's
appointment.
System manager(s) and address:
Chief Information Officer, Office of the Surgeon General, U.S.
Army Medical Command, 2050 Worth Road, Suite 13, Fort Sam Houston, TX
78234-6013.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to Chief Information Officer, Office of the Surgeon
General, U.S. Army Medical Command, 2050 Worth Road, Suite 13, Fort
Sam Houston, TX 78234-6013.
For verification purposes, the individual should provide the full
name, current address and telephone number, and signature.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to Chief
Information Officer, Office of the Surgeon General, U.S. Army Medical
Command, 2050 Worth Road, Suite 13, Fort Sam Houston, TX 78234-6013.
For verification purposes, the individual should provide the full
name, current address and telephone number, and signature.
Contesting record procedures:
The Army's rules for accessing records, and for contesting
contents and appealing initial agency determinations are contained in
Army Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
From the individual, Army records and reports.
Exemptions claimed for the system:
None.
#..A0040-3a DASG
#....System name:
Medical Review Files.
System location:
The Surgeon General, U.S. Army Medical Command, ATTN: MCIM, 2050
Worth Road, Suite 13, Fort Sam Houston, TX 78234-6013.
Categories of individuals covered by the system:
Applicants and registrants who are being considered for Army
service and whose medical fitness is questionable; Army members being
considered for continuance in service, promotion, special assignment,
or separation whose medical fitness is questioned either by the
medical evaluating authority or by the individual.
Categories of records in the system:
Files contain documents relating to medical fitness of
individuals for appointment, enlistment, retention in service,
promotion, special assignment, or separation. Included are reports of
medical examination and evaluation, psychological evaluation reports,
and similar or related documents.
Authority for maintenance of the system:
5 U.S.C. 301, Departmental Regulations and 10 U.S.C., Chapter 55.
Purpose(s):
To evaluate medical fitness of marginally qualified personnel for
Army program with strict regard to established medical standards.
Routine uses of records maintained in the system, including
categories of users and the purposes of such uses:
In addition to those disclosures generally permitted under 5
U.S.C. 552a(b) of the Privacy Act, these records or information
contained therein may specifically be disclosed outside the DoD as a
routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
The `Blanket Routine Uses' set forth at the beginning of the
Army's compilation of systems of records notices also apply to this
system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Paper records in file folders.
Retrievability:
By individual's name.
Safeguards:
Records are maintained in secured areas accessible only to
designated personnel having official need therefor in the performance
of assigned duties.
Retention and disposal:
Destroyed after 3 years.
System manager(s) and address:
Chief Information Officer, Office of the Surgeon General, U.S.
Army Medical Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam
Houston, TX 78234-6013.
Notification procedure:
Individuals seeking to determine whether information about
themselves is contained in this system should address written
inquiries to Chief Information Officer, Office of the Surgeon
General, U.S. Army Medical Command, ATTN: MCIM, 2050 Worth Road,
Suite 13, Fort Sam Houston, TX 78234-6013.
For verification purposes, the individual should provide the full
name, place and date of medical examination, additional details that
will facilitate locating the record, and signature.
Record access procedures
Individuals seeking access to information about themselves
contained in this system should address written inquiries to Chief
Information Officer, Office of the Surgeon General, U.S. Army Medical
Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam Houston, TX
78234-6013.
For verification purposes, the individual should provide the full
name, place and date of medical examination, additional details that
will facilitate locating the record, and signature.
Contesting record procedures:
The Army's rules for accessing records, and for contesting
contents and appealing initial agency determinations are contained in
Army Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
From clinical records, health records, medical boards, civilian
physicians, consultation reports, other Army records and reports.
Exemptions claimed for the system.
None.
#..A0040-3b DASG
#....System name:
Medical Evaluation Files.
System location:
Primary location: Army Medical Department medical facilities
convening a medical board.
A segment exists at the U.S. Army Physical Evaluation Board and
the U.S. Army Physical Disability Agency.
Categories of individuals covered by the system:
Army members whose medical fitness for continued service has been
questioned either by the member or his/her commander.
Categories of records in the system:
Personal information concerning the member; certain codes of
specific types of injuries for research study purposes; Department of
Veterans Affairs Schedule for Rating Disability Diagnostic Codes;
documents reflecting determination by an Army board of medical
fitness for continued Army active service; board proceedings and
related documents.
Authority for maintenance of the system:
5 U.S.C. 301, Departmental Regulations; 10 U.S.C., Chapters 55
and 61; and E.O. 9397 (SSN).
Purpose(s):
Records are used by Medical Boards to determine medical fitness
for continued Army active service. They are used by the Physical
Evaluation Board to review board findings when required and to
determine if the individual should be discharged, temporarily or
permanently retired for disability, or retained for active service.
The U.S. Physical Disability Agency reviews determinations and
dispositions, and responds to inquiries.
Routine uses of records maintained in the system, including
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