Home > 1997 Privacy Act Documents > Privacy Act: [A0040-905 DASG]...Privacy Act: [A0040-905 DASG]...
System location:
Armed Forces Repository of Specimen Samples for the
Identification of Remains, Armed Forces Institute of Pathology, 16050
Industrial Drive, Gaithersburg, MD 20877-1414.
Categories of individuals covered by the system:
Department of Defense military personnel (active and reserve).
Civilian family members of Department of Defense military
personnel (active and reserve) who voluntarily provide specimens for
DNA typing for purpose of identifying the human remains of family
members.
DoD civilian and contractor personnel deploying with the armed
forces.
Other individuals may also be included in this system when the
Armed Forces Institute of Pathology (AFIP) is requested by Federal,
state, local and foreign authorities to identify human remains.
Categories of records in the system:
Specimen collections from which a DNA typing can be obtained
(oral swabs, blood and blood stains, bone, and tissue), and the DNA
typing results. Accession number, specimen locator information,
collection date, place of collection, individual's name, Social
Security Number, right index fingerprint, signature, branch of
service, sex, race and ethnic origin, address, place and date of
birth, and relevant kindred information, past and present.
Authority for maintenance of the system:
5 U.S.C. 301, Departmental Regulations; 10 U.S.C. 131; 10 U.S.C.
3013, Secretary of Army; 10 U.S.C. 5013, Secretary of the Navy; 10
U.S.C. 8013, Secretary of the Air Force; E.O. 9397 (SSN); Deputy
Secretary of Defense memorandum dated December 16, 1991; and
Assistant Secretary of Defense (Health Affairs) memoranda dated
January 5, 1993, March 9, 1994, April 2, 1996, and October 11, 1996.
Purpose(s):
Information in this system of records will be used for the
identification of human remains. The data collected and stored will
not be analyzed until needed for the identification of human remains.
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:
To Federal, state, local and foreign authorities when the Armed
Forces Institute of Pathology (AFIP) is requested to identify human
remains.
To a proper authority, as compelled by other applicable law, in a
case in which all of the following conditions are present:
(1) The responsible DoD official has received a proper judicial
order or judicial authorization;
(2) The specimen sample is needed for the investigation or
prosecution of a crime punishable by one year or more of confinement;
(3) No reasonable alternative means for obtaining a specimen for
DNA profile analysis is available; and
(4) The use is approved by the Assistant Secretary of Defense for
Heath Affairs.
The Army's `Blanket Routine Uses' do not apply to this system.
Policies and practices for storing, retrieving, accessing,
retaining, and disposing of records in the system:
Storage:
Records are stored manually and electronically.
Retrievability:
By individual's surname, sponsor's Social Security Number, date
of birth, and specimen reference or AFIP accession number.
Safeguards:
Access to the Armed Forces Institute of Pathology is controlled.
Computerized records are maintained in controlled areas accessible
only to authorized personnel. Entry to these areas is restricted to
those personnel with a valid requirement and authorization to enter.
All personnel whose duties require access to, or processing and
maintenance of personnel information are trained in the proper
safeguarding and use of the information. Any DNA typing information
obtained will be handled as confidential medical information.
Retention and disposal:
Records are maintained 50 years and then destroyed by shredding
or incineration.
Statistical data used for research and educational projects are
destroyed after end of project.
Military personnel, their civilian family members, or others may
request early destruction of their individual remains identification
specimen samples following the conclusion of the donor's complete
military service or other applicable relationship to DoD. For this
purpose, complete military service is not limited to active duty
service; it includes all service as a member of the Selected
Reserves, Individual Ready Reserve, Standby Reserve or Retired
Reserve.
In the case of DoD civilians and contractor personnel, early
destruction is allowed when the donor is no longer deployed by DoD in
a geographic area which requires the maintenance of such samples.
Upon receipt of such requests, the samples will be destroyed within
180 days, and notification of the destruction sent to the donor.
Requests for early destruction may be sent to the Repository
Administrator, Armed Forces Repository of Specimen Samples for the
Identification of Remains, Armed Forces Institute of Pathology,
Washington, DC 20306-6000.
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 Administrator, Repository and Research Services,
ATTN: Armed Forces Repository of Specimen Samples for the
Identification of Remains, Armed Forces Institute of Pathology,
Walter Reed Army Medical Center, Washington, DC 20306-6000.
Requesting individual must submit full name, Social Security
Number and date of birth of military member and branch of military
service, if applicable, or accession/reference number assigned by the
Armed Forces Institute of Pathology, if known. For requests made in
person, identification such as military ID card or valid driver's
license is required.
Record access procedures:
Individuals seeking access to information about themselves or
deceased family members contained in this system should address
written inquiries to the Administrator, Repository and Research
Services, ATTN: Armed Forces Repository of Specimen Samples for the
Identification of Remains, Armed Forces Institute of Pathology, Armed
Forces Institute of Pathology, Walter Reed Army Medical Center,
Washington, DC 20306-6000.
Requesting individual must submit full name, Social Security
Number and date of birth of military member and branch of military
service, if applicable, or accession/reference number assigned by the
Armed Forces Institute of Pathology, if known.
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:
Individual, family member, diagnostic test, other available
administrative or medical records obtained from civilian or military
sources.
Exemptions claimed for the system:
None.
#..A0040-66a DASG
#....System name:
Medical Staff Credentials File.
System location:
Medical treatment facilities at Army commands, installations and
activities. Official mailing addresses are published as an appendix
to the Army's compilation of record systems notices.
Categories of individuals covered by the system:
Individuals performing clinical practice in medical treatment
facilities.
Categories of records in the system:
Documents reflecting delineation of clinical privileges and
clinical performance and medical malpractice case files.
Authority for maintenance of the system:
5 U.S.C. 301, Departmental Regulations; 10 U.S.C., Chapter 55;
and E.O. 9397 (SSN).
Purpose(s):
To determine and assess capability of practitioner's clinical
practice.
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:
In specific instances, clinical privileged information from this
system of records may be provided to civilian and military medical
facilities, Federation of State Medical Boards of the United States,
State Licensure Authorities and other appropriate professional
regulating bodies for use in assuring high quality health care.
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 surname.
Safeguards:
Records are maintained in areas accessible only to the medical
treatment facility commander and credentials committee members.
Retention and disposal:
Records are retained in medical treatment facility of
individual's last assignment. Records of military members are
transferred to individual's Military Personnel Records Jacket upon
separation or retirement. Records on civilian personnel are destroyed
5 years after employment terminates.
Medical malpractice case files are destroyed after 10 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 commander of the medical treatment where
practitioner provided clinical service. Official mailing addresses
are published as an appendix to the Army's compilation of record
systems notices.
For verification purposes, the individual should provide the full
name, Social Security Number, and signature.
Record access procedures:
Individuals seeking access to records about themselves contained
in this record system should address written inquiries to the
commander of the medical treatment where practitioner provided
clinical service. Official mailing addresses are published as an
appendix to the Army's compilation of record systems notices.
For verification purposes, the individual should provide the full
name, Social Security 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:
Interviewer, individual's application, medical audit results,
other administrative or investigative records obtained from civilian
or military sources.
Exemptions claimed for the system:
None.
#..A0040-66b DASG
#....System name:
Health Care and Medical Treatment Record System.
System location:
Army Medical Department facilities and activities. Official
mailing addresses are published as an appendix to the Army's
compilation of record systems notices.
Categories of individuals covered by the system:
Military members of the Armed Forces (both active and inactive);
family members; civilian employees of the Department of Defense;
members of the U.S. Coast Guard, Public Health Service, and National
Oceanic and Atmospheric Agency; cadets and midshipmen of the military
academies; employees of the American National Red Cross; and other
categories of individuals who receive medical treatment at Army
Medical Department facilities/activities.
Categories of records in the system:
Medical records (of a permanent nature) used to document health;
psychological and mental hygiene consultation and evaluation;
medical/dental care and treatment for any health or medical condition
provided an eligible individual on an inpatient and/or outpatient
status to include but not limited to: health; clinical (inpatient);
outpatient; dental; consultation; and procurement and separation x-
ray record files; and Human Immunodeficiency Virus (HIV) blood
sampling results to identify Acquired Immune Deficiency Syndrome
(AIDS); and Psychological Assessment and Selection Case records.
Subsidiary medical records (of a temporary nature) are also
maintained to support records relating to treatment/observation of
individuals. Such records include but are not limited to: social work
case files, inquiries/complaints about medical treatment or services
rendered by the medical treatment facility, and patient treatment x-
ray and index files.
Authority for maintenance of the system:
10 U.S.C. 3013, Secretary of the Army; 10 U.S.C. 1071-1085,
Medical and Dental Care; 50 U.S.C. Supplement IV, Appendix 454, as
amended, Persons liable for training and service; 42 U.S.C. Chapter
117, Sections 11131-11152, Reporting of Information; 10 U.S.C. 1097a
and 1097b TRICARE Prime and TRICARE Program; 10 U.S.C. 1079,
Contracts for Medical Care for Spouses and Children; 10 U.S.C. 1079a,
CHAMPUS; 10 U.S.C. 1086, Contracts for Health Benefits for Certain
Members, Former Members, and Their Dependents; E.O. 9397 (SSN); DoD
Instruction 6015.23, Delivery of Healthcare at Military Treatment
Facilities (MTFs); DoD Directive 6040.37, Confidentiality of Medical
Quality Assurance (QA) Records; DoD 6010.8-R, Civilian Health and
Medical Program of the Uniformed Services (CHAMPUS); Army Regulation
40-66, Medical Record Administration and Health Care Documentation.
Purpose(s):
To provide health care and medical treatment of individuals; to
establish tuberculosis/tumor/cancer/Human Immunodeficiency Virus
(HIV) registries; for research studies; compilation of statistical
data and management reports; to implement preventive medicine,
dentistry, and communicable disease control programs; to adjudicate
claims and determine benefits; to evaluate care rendered; determine
professional certification and hospital accreditation; and determine
medical and psychological suitability of persons for service or
assignment.
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 the Department of Veterans
Affairs to adjudicate veterans' claims and provide medical care to
Army members.
National Research Council, National Academy of Sciences, National
Institutes of Health, Armed Forces Institute of Pathology, and
similar institutions for authorized health research in the interest
of the Federal Government and the public. When not essential for
longitudinal studies, patient identification data shall be eliminated
from records used for research studies. Facilities/activities
releasing such records shall maintain a list of all such research
organizations and an accounting disclosure of records released
thereto.
To local and state government and agencies for compliance with
local laws and regulations governing control of communicable
diseases, preventive medicine and safety, child abuse, and other
public health and welfare programs.
Third party payers per 10 U.S.C. 1095 as amended by Pub. L. 99-
272, and guidance provided to the DoD health services by DoD
Instruction 6015.23, for the purpose of collecting reasonable
inpatient/outpatient hospital care costs incurred on behalf of
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