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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; magnetic diskettes.
Retrievability:
By individual's name.
Safeguards:
Records are maintained in areas accessible only to authorized
personnel who are properly screened and trained. Operation of data
processing equipment and magnetic tapes are limited strictly to
authorized personnel. Computer has key lock and key is controlled.
Magnetic diskettes are stored and controlled to ensure they do not
result in unauthorized disclosure of personal information.
Retention and disposal:
Records of Medical Boards are retained for 5 years and then
destroyed. Records of the U.S. Army Physical Evaluation Boards are
retained for 2 years or until discontinued, whichever occurs first.
Records at the U.S. Army Physical Disability Agency are retained for
5 years and then destroyed. Destruction of all records is by
shredding.
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, Social Security Number, details which will assist in locating
pertinent records, 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, Social Security Number, details which will assist in locating
pertinent records, 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 records and reports.
Exemptions claimed for the system:
None.
#..A0040-3c DASG
#....System name:
Medical Regulating Files.
System location:
Primary location: The Surgeon General, U.S. Army Medical Command,
ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam Houston, TX 78234-
6013.
Segments exist at Army medical treatment facilities, evacuation
units and medical regulating offices.
Categories of individuals covered by the system:
Any patient requiring transfer to another medical treatment
facility who is reported to the Global Patient Movement Requirements
Center by U.S. Government medical treatment facilities for
designation of the receiving medical facility.
Categories of records in the system:
File contains information reported by the transferring medical
treatment facility and includes, but is not limited to, patient
identity, service affiliation and grade or status, sex, medical
diagnosis, medical condition, special procedures or requirements
needed, medical specialties required, administrative considerations,
personal considerations, the patient's home town and/or duty station
and other information having an impact on the transfer.
Authority for maintenance of the system:
5 U.S.C. 301, Departmental Regulations and 10 U.S.C. 3013,
Secretary of the Army.
Purpose(s):
To properly determine the appropriate medical treatment facility
to which the reported patient will be transferred; to notify the
reporting U.S. Government medical treatment facility of the transfer
destination; to notify the receiving medical treatment facility of
the transfer; to notify evacuation units, medical regulating offices
and other government offices for official reasons; to evaluate the
effectiveness of reported information; to establish further the
specific needs of the reported patient; for statistical purposes; and
when required by law and official purposes.
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.
Note: Record of the identity, diagnosis, prognosis, or treatment
of any client/patient, irrespective of whether or when he ceases to
be a client/patient, maintained in connection with the performance of
any alcohol or drug abuse prevention and treatment function
conducted, regulated, or directly or indirectly assisted by any
department or agency of the United States, shall, except as provided
therein, be confidential and be disclosed only for the purposes and
under the circumstances expressly authorized in 42 U.S.C. 290dd-2.
This statute takes precedence over the Privacy Act of 1974, in regard
to accessibility of such records except to the individual to whom the
record pertains. The Army's `Blanket Routine Uses' do not apply to
these types records.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Paper records in file folders and electronic storage media.
Retrievability:
By individual's name.
Safeguards:
Records are maintained in secured areas accessible only to
authorized personnel who are properly screened and trained.
Retention and disposal:
Destroyed 1 year following the end of the calendar year in which
the patient was reported to the Global Patient Movement Requirements
Center
System manager(s) and address:
Chief, Patient Administration Division, Office of the Surgeon
General, U.S. Army Medical Command, ATTN: MCHO-CL-P, Room G104, 2050
Worth Road, 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, Patient Administration Division, Office of the
Surgeon General, U.S. Army Medical Command, ATTN: MCHO-CL-P, Room
G104, 2050 Worth Road, Fort Sam Houston, TX 78234-6013 or to the
Patient Administrator at the medical treatment facility where service
was provided.
Individual should provide full name, rank or status and parent
service, approximate date of transfer, medical treatment facility
from which transferred, and current address and telephone number.
Record access procedures:
Individuals seeking access to information about themselves
contained in this system should address written inquiries to Chief,
Patient Administration Division, Office of the Surgeon General, U.S.
Army Medical Command, ATTN: MCHO-CL-P, Room G104, 2050 Worth Road,
Fort Sam Houston, TX 78234-6013 or to the Patient Administrator at
the medical treatment facility where service was provided.
Individual should provide full name, rank or status and parent
service, approximate date of transfer, medical treatment facility
from which transferred, and current address and telephone number.
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 transferring and receiving treatment facilities, medical
regulating offices, evacuation offices, and other U.S. Government
offices, agencies and commands relevant to the patient transfer.
Exemptions claimed for the system:
None.
#..A0040-5 DASG
#....System name:
Occupational Health Records.
System location:
Army medical treatment facilities. Addresses may be obtained from
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:
Department of the Army employees; active duty military personnel
and their dependents who are treated on an out-patient basis by
medical treatment facilities for whom specific occupational health
examinations have been requested.
Categories of records in the system:
Name, Social Security Number, date and place of birth, marital
status, dates of medical surveillance tests and their results;
documents reflecting the training, experience and certification to
work within hazardous environments; external exposures to chemicals,
radiation, physical stress, non-human primates, including personnel
monitoring results, work area monitoring readings, and similar and
related documents; personnel protective equipment and medical
programs required to limit exposure to environmental safety and
health hazards.
Authority for maintenance of the system:
5 U.S.C. 7902; 29 U.S.C. 668; 29 CFR Chapter XVII, Occupational
Safety and Health Standards; E.O.s 12223 and 12608; and E.O. 9397
(SSN).
Purpose(s):
To determine persons listed in the `Individual-Category' above,
pursuant to appropriate preventive medicine programs; to ensure that
employees are qualified to perform duties under environmental stress
and that such stress is limited to lowest level practical.
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:
Information may be disclosed to appropriate Government agencies
whose responsibility falls within the above occupational health
statutes.
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; magnetic tapes, discs, and printouts.
Retrievability:
By individual's name and/or Social Security Number.
Safeguards:
Access to all records is restricted to designated individuals
whose official duties dictate need therefor. Information in automated
media are further protected by storage in locked rooms. All
individuals afforded access are given periodic orientations
concerning sensitivity of personal information and requirement to
prevent unauthorized disclosure.
Retention and disposal:
Personnel exposure files/monitoring data are retained 5 years
after evaluation and recorded on permanent medical records. Records
relating to individual's health are incorporated in the individual's
medical record.
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, or to the Patient
Administrator at the appropriate medical treatment facility.
Individual must provide full name, Social Security Number,
current address and telephone number, sufficient details to permit
locating records, 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, or to the Patient Administrator at the appropriate
medical treatment facility.
Individual must provide full name, Social Security Number,
current address and telephone number, sufficient details to permit
locating records, and signature.
Contesting record procedures:
The Army's rules for accessing records, and for contesting
contents and appealing initial determination are contained in Army
Regulation 340-21; 32 CFR part 505; or may be obtained from the
system manager.
Record source categories:
From Army Medical records and reports.
Exemptions claimed for the system:
None.
#..A0040-14 DASG
#....System name:
Radiation Exposure Records.
System location:
Army installations, activities, laboratories, etc., which use or
store radiation producing devices or radioactive materials or
equipment. An automated segment exists at Lexington Blue Grass Depot,
KY 40511-5000.
Categories of individuals covered by the system:
Persons employed by the Army, including employees of contractors,
who are occupationally exposed to radiation or radioactive materials.
Categories of records in the system:
Documents reflecting individual's training, experience, and
certification to work within hazardous environments such as require
the handling of or exposure to radioactive materials or equipment,
exposure to radiation. Records may include DD Form 1852 (Dosimeter
Application and Record of Occupational Radiation Exposure), DD Form
1141 (Dosimetry Record), DA Form 3484 (Photodosimetry Report), SF 11-
206, exposed dosimetry film; investigative reports of harmful
chemical, biological, and radiological exposures; relevant management
reports.
Automated records contain data elements such as individual's
name, Social Security Number, date of birth, film badge number, coded
cross-reference to place of assignment at time of exposure, dates of
exposure and radiation dose, cumulative exposure, type of measuring
device, and coded cross-reference to qualifying data regarding
exposure readings.
Authority for maintenance of the system:
29 U.S.C. 668; U.S. Nuclear Regulatory Commission Regulation (10
CFR part 19); Department of Labor Regulation (29 CFR part 1910); and
E.O. 9397 (SSN).
Purpose(s):
Other Popular 1997 Privacy Act Documents Documents:
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