[Federal Register Volume 68, Number 59 (Thursday, March 27, 2003)]
[Notices]
[Pages 14959-14967]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-7105]


-----------------------------------------------------------------------

DEPARTMENT OF DEFENSE

Department of the Army


Privacy Act of 1974; System of Records

AGENCY: Department of the Army, DoD.

ACTION: Notice to amend systems of records.

-----------------------------------------------------------------------

SUMMARY: The Department of the Army is amending eight systems of 
records notices in its existing inventory of records systems subject to 
the Privacy Act of 1974, (5 U.S.C. 552a), as amended.
    The amendments are required to alert the users of these systems of 
records of the additional requirements of the Health Insurance 
Portability and Accountability Act (HIPAA) of 1996, as implemented by 
DoD 6025.18-R, DoD Health Information Privacy Regulation. Language 
being added under the ``Routine Use'' category is as follows:

    Note:
    This system of records contains individually identifiable health 
information. The DoD Health Information Privacy Regulation (DoD 
6025.18-R) issued pursuant to the Health Insurance Portability and 
Accountability Act of 1996, applies to most such health information. 
DoD 6025.18-R may place additional procedural requirements on the 
uses and disclosures of such information beyond those found in the 
Privacy Act of 1974 or mentioned in this system of records notice.''


DATES: This proposed action will be effective without further notice on 
April 28, 2003 unless comments are received which result in a contrary 
determination.

ADDRESSES: Department of the Army, Freedom of Information/ Privacy Act 
Office, U.S. Army Records Management and Declassification Agency, Attn: 
TAPC-PDD-FP, 7798 Cissna Road, Suite 205, Springfield, VA 22153-3166.

FOR FURTHER INFORMATION CONTACT: Ms. Janice Thornton at (703) 806-7137 
DSN 656-7137.

SUPPLEMENTARY INFORMATION: The Department of the Army systems of 
records notices subject to the Privacy Act of 1974, (5 U.S.C. 552a), as 
amended, have been published in the Federal Register and are available 
from the address above.
    The specific changes to the records system being amended are set 
forth below followed by the notice, as amended, published in its 
entirety. The proposed amendments are not within the purview of 
subsection (r) of the Privacy Act of 1974, (5 U.S.C. 552a), as amended, 
which requires the submission of a new or altered system report.

    Dated: March 19, 2003.
Patricia L. Toppings,
Alternate OSD Federal Register Liaison Officer, Department of Defense.
A0040 DASG

System name:
    Medical Facility Administration Records (August 7, 1997, 62 FR 
42524).

Changes:
* * * * *

Category of records in the system:
    Add to entry ``sponsor's and patient's Social Security Number'',
* * * * *

Routine uses of records maintained in the system, including categories 
of users and the purposes of such uses:
    Add a new paragraph to the end of the entry.

    Note: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation 
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability 
and Accountability Act of 1996, applies to most such health 
information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''

Storage:
    Delete entry and replace with ``Paper in file folders and 
electronic storage media.''

Retrievability:
    Delete entry and replace with ``By individual''s surname/Social 
Security Number and sponsor's Social Security Number.''
* * * * *

Retention and disposal:
    Change ``20 years'' to ``5 years.''
* * * * *
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, patience's name, Social Security Number, 
birth, death, sponsor's Social Security Number, 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; and 
similar records/reports.

Authority for maintenance of the system:
    5 U.S.C. 301, Departmental Regulations; 10 U.S.C. 3013, Secretary 
of the Army; Army Regulation 40-2, Army Medical Facilities General 
Admission; 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 DoD ``Blanket Routine Uses'' set forth at the beginning of the 
Army's compilation of systems of records notices also apply to this 
system.

    Note:
    This system of records contains individually identifiable health 
information.

[[Page 14960]]

The DoD Health Information Privacy Regulation (DoD 6025.18-R) issued 
pursuant to the Health Insurance Portability and Accountability Act 
of 1996, applies to most such health information. DoD 6025.18-R may 
place additional procedural requirements on the uses and disclosures 
of such information beyond those found in the Privacy Act of 1974 or 
mentioned in this system of records notice.

Policies and practices for storing, retrieving, accessing, retaining, 
and disposing of records in the system:
Storage:
    Paper in file folders and electronic storage media.

Retrievability:
    By individual's surname/Social Security Number and sponsor's Social 
Security Number.

Safeguards:
    Records are maintained within secured buildings in areas accessible 
only to persons having official need-to-know, and 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 5 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 (November 20, 2001, 66 FR 
58128).

Changes:
* * * * *

Routine uses of records maintained in the system, including categories 
of users and the purposes of such uses:
    Add a new paragraph to the end of the entry.


     ``Note: This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) issued pursuant to the Health Insurance 
Portability and Accountability Act of 1996, applies to most such 
health information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''


RETRIEVABILITY:
    Add to entry ``Social Security Number.''
* * * * *
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.

    Note:
    This system of records contains individually identifiable health 
information. The DoD Health Information Privacy Regulation (DoD 
6025.18-R) issued pursuant to the Health Insurance Portability and 
Accountability Act of 1996, applies to most such health information. 
DoD 6025.18-R may place additional procedural requirements on the 
uses and disclosures of such information beyond those found in the 
Privacy Act of 1974 or mentioned in this system of records notice.

Policies and practices for storing, retrieving, accessing, retaining, 
and disposing of records in the system:
STORAGE:
    Paper records in file folders.

RETRIEVABILITY:
    By name and Social Security Number.

SAFEGUARDS:
    Records are maintained in secured areas accessible only to 
authorized

[[Page 14961]]

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 (August 7, 1997, 62 FR 42525).

CHANGES:
* * * * *

AUTHORITY FOR MAINTENANCE OF THE SYSTEM:
    Delete entry and replace with ``10 U.S.C. 3013, Secretary of the 
Army; 10 U.S.C. Chapter 55, Medical and Dental Care; and Army 
Regulation 40-3, Medical, Dental, and Veterinary Care.''
* * * * *

ROUTINE USES OF RECORDS MAINTAINED IN THE SYSTEM, INCLUDING CATEGORIES 
OF USERS AND THE PURPOSES OF SUCH USES:
    Add a new paragraph to the end of the entry.

    ``Note: This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) issued pursuant to the Health Insurance 
Portability and Accountability Act of 1996, applies to most such 
health information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''

* * * * *
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:
    10 U.S.C. 3013, Secretary of the Army; 10 U.S.C. Chapter 55, 
Medical and Dental Care; and Army Regulation 40-3, Medical, Dental, and 
Veterinary Care.

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 DoD ``Blanket Routine Uses'' set forth at the beginning of the 
Army's compilation of systems of records notices also apply to this 
system.

    Note: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation 
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability 
and Accountability Act of 1996, applies to most such health 
information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.

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.

[[Page 14962]]

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 (August 7, 1997, 62 FR 42526).

Changes:
* * * * *

Categories of records in the system:
    Add to entry ``individual's name and Social Security Number.''

Authority for maintenance of the system:
    Delete entry and replace with ``10 U.S.C. 3013, Secretary of the 
Army; 10 U.S.C. Chapter 55, Medical and Dental Care; 10 U.S.C. Chapter 
61, Retirement or Separation for Physical Disability; and Army 
Regulation 40-3, Medical, Dental, and Veterinary Care; and E.O. 9397 
(SSN).''
* * * * *
    Routine uses of records maintained in the system, including 
categories of users and the purposes of such uses:
    Add a new paragraph to the end of the entry.

    ``Note: This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) issued pursuant to the Health Insurance 
Portability and Accountability Act of 1996, applies to most such 
health information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''

* * * * *

Retrievability:
    Add to entry ``Social Security Number.''
* * * * *
A0040-3b DASG

System name:
    Medical Evaluation Files.

System location:
    U.S. Army Physical Evaluation Board, Walter Reed Army Medical 
Center, 6900 Georgia Avenue, NW, Washington, DC 20307-5001;
    Fort Sam Houston Physical Evaluation Board, 1200 Stanley Road, Fort 
Sam Houston, Texas 78234-5010;
    Fort Lewis Physical Evaluation Board, Madigan Army Medical Center, 
Tacoma, Washington 98431-5303;
    U.S. Army Physical Disability Agency, Water Reed Army Medical 
Enter, 6900 George Avenue, Washington, DC 20307-5001; and any other 
Army Medical Department medical facilities convening a medical board.

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, i.e., individual's name 
and Social Security Number; 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:
    10 U.S.C. 3013, Secretary of the Army; 10 U.S.C. Chapter 55, 
Medical and Dental Care; 10 U.S.C. Chapter 61, Retirement or Separation 
for Physical Disability; and Army Regulation 40-3, Medical, Dental, and 
Veterinary Care; 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 
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.

    Note: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation 
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability 
and Accountability Act of 1996, applies to most such health 
information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.

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 and Social Security Number.

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, Patient Administration Division, Office of the Surgeon 
General,

[[Page 14963]]

U.S. Army Medical Command, 2050 Worth Road, Fort Sam Houston, TX 78234-
6000.

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, 2050 Worth Road, Fort Sam Houston, 
TX 78234-6000.
    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, 
Patient Administration Division, Office of the Surgeon General, U.S. 
Army Medical Command, 2050 Worth Road, Fort Sam Houston, TX 78234-6000.
    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 (August 27, 1999, 64 FR 46887).

Changes:
* * * * *

Routine uses of records maintained in the system, including categories 
of users and the purposes of such uses:
    Add a new paragraph to the end of the entry.

    ``Note: This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) issued pursuant to the Health Insurance 
Portability and Accountability Act of 1996, applies to most such 
health information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''

* * * * *
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. 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:
    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:
    10 U.S.C. 3013, Secretary of the Army and Army Regulation 40-3, 
Medical, Dental, and Veterinary Care.

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 DoD `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.


    Note: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation 
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability 
and Accountability Act of 1996, applies to most such health 
information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.

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:

[[Page 14964]]

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 (March 29, 2002, 67 FR 15185).

Changes:
* * * * *

Routine uses of records maintained in the system, including categories 
of users and the purposes of such uses:
    Add a new paragraph to the end of the entry.

    ``Note: This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) issued pursuant to the Health Insurance 
Portability and Accountability Act of 1996, applies to most such 
health information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''
* * * * *
A0040-5 DASG

System name:
    Occupational Health Records (March 29, 2002, 67 FR 15185).

System location:
    U.S. Army Medical Command, 1216 Stanley Road, Suite 25m Fort Sam 
Houston, TX 78234-5053.

Categories of individuals covered by the system:
    Active duty army, their family members, U.S. Army Reserve, National 
Guard on active duty or in drill status, U.S. Military Academy and 
Reserve Officer Training Corps cadets, when engaged in directed 
training, foreign national military assigned to Army components, 
Department of the Army civilian and non-appropriated fund personnel 
employed by the Army for whom specific occupational health examinations 
have been conducted and/or 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; including personnel monitoring results 
and work are monitoring readings. Exposures to chemicals, radiation, 
physical environment, non-human primates, and similar and related 
documents; personnel protective equipment and medical programs required 
to limit exposure to environmental safety and health hazards are also 
included.

Authority for maintenance of the system:
    10 U.S.C. 3013, Secretary of the Army; 5 U.S.C. 7902, Safety 
Programs; 29 U.S.C. 668, Programs of Federal Agencies; 29 CFR 1910, 
Occupational Safety and Health Standards; Army Regulation 40-5, 
Preventive Medicine; E.O. 12223, Occupational Safety Health Programs 
for Federal Employees; and E.O. 9397 (SSN).

Purpose(s):
    To maintain a permanent record of work places, training, exposures, 
medial surveillance, and any medical care provided for eligible 
individuals.

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 occupational health statutes 
identified under ``Authority'' above.
    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.

    Note: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation 
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability 
and Accountability Act of 1996, applies to most such health 
information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.

Policies and practices for storing, retrieving, accessing, retaining, 
and disposing of records in the system:
Storage:
    Paper records, printouts, magnetic tapes and electronic storage 
media.

Retrievability:
    By individual's name and/or Social Security Number.

Safeguards:
    Access to all records is restricted to designated individuals whose 
official duties dictate an official need to know. Information in 
automated media are further protected from unauthorized access 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:
    Records are maintained by employing office until employee is 
separated at which time records are filed with the individual personnel 
record for 30

[[Page 14965]]

years. GB agent records maintain for 40 years then destroy.

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, or to the Patient Administrator at the appropriate medical 
treatment facility.
    Individual must provide full name, Social Security Number, current 
address, telephone number, details of last location of record or 
employment, 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, or 
to the Patient Administrator at the appropriate medical treatment 
facility.
    Individual must provide full name, Social Security Number, current 
address, telephone number, details of last location of record or 
employment, 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.
A0040-11 DASG

System name:
    Radiation Exposure Records (January 30, 2002, 67 FR 4412).

Changes:
* * * * *

Routine uses of records maintained in the system, including categories 
of users and the purposes of such uses:
    Add a new paragraph to the end of the entry.

    ``Note: This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) issued pursuant to the Health Insurance 
Portability and Accountability Act of 1996, applies to most such 
health information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''

Storage:
    Delete entry and replace with ``Papers in file folders; film 
packets; and electronic storage media.''
* * * * *

Retention and disposal:
    Replace second paragraph with ``Radiation incident cases are 
destroyed after 75 years.''
* * * * *
A0040-11 DASG

System name:
    Radiation Exposure Records.

Changes:
* * * * *

System location:
    Army installations, activities, laboratories, etc., which use or 
store radiation producing devices or radioactive materials or 
equipment. Official mailing addresses are published as an appendix to 
the Army's compilation of systems of records notices. An automated 
segment exists at Redstone Arsenal, AL 35898-5000.

Categories of individuals covered by the system:
    All active duty Army, Reserve Army National Guard, and persons 
employed by the Army, to include contractors, who are occupationally 
exposed to radiation or radioactive materials.

Categories of records in the system:
    Records contain 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. Documents reflecting 
individual's training, external and internal exposure to ionizing 
radiation, reports of investigation, reports of radiological exposures, 
and relevant management reports.

Authority for maintenance of the system:
    10 U.S.C. 3013, Secretary of the Army; 29 U.S.C. Chapter 15, 
Occupational Safety and Health; Army Regulation 11-9, The Army 
Radiation Safety Program; Army Regulation 40-5, Preventive Medicine; 
Army Regulation 40-13, Medical Support--Nuclear Chemical Accidents and 
Incidents; Department of the Army Pamphlet 40-18, Personnel Dosimetry 
Guidance and Dose Recording Procedures for Personnel Occupationally 
Exposed to Ionizing Radiation; 10 CFR part 19, Nuclear Regulatory 
Commission and E.O. 9397 (SSN).

Purpose(s):
    To monitor, evaluate, and control the risks of individual exposure 
to ionizing radiation or radioactive materials by comparison of test 
for short and long term exposure. Conduct investigations of 
occupational health hazards and relevant management studies and ensure 
efficiency in maintenance of prescribed safety standards. As well as 
ensure individual qualifications and education in handling radioactive 
materials are maintained.

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 the National Cancer Institute for epidemiological studies to 
assess the effects of occupational radiation exposure.
    To the Center for Disease Control for epidemiological studies to 
assess the effects of occupational radiation exposure.
    To the National Council on Radiation Protection and Measurement to 
research and evaluated radiation exposure levels for use in the 
development of guidance and recommendations on radiation protections 
and measurements.
    To the Department of Veteran's Affairs to verify occupational 
radiation exposure for evaluating veterans benefit claims.
    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.

    Note: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation 
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability 
and Accountability Act of 1996, applies to most

[[Page 14966]]

such health information. DoD 6025.18-R may place additional 
procedural requirements on the uses and disclosures of such 
information beyond those found in the Privacy Act of 1974 or 
mentioned in this system of records notice.

Policies and practices for storing, retrieving, accessing, retaining, 
and disposing of records in the system:
Storage:
    Papers in file folders; film packets; and electronic storage media.

Retrievability:
    By individual's name and/or Social Security Number.

Safeguards:
    Access to all records is restricted to designated individuals 
having official need therefore in the performance of assigned duties. 
In addition, access to automated records is controlled by Card Key 
System, which requires positive identification and authorization.

Retention and disposal:
    Professional consultant control files destroy 1 year after 
termination. Clinical and pathological lab reports destroy when no 
longer needed for conducting business. Personnel dosimetry files 
destroy after 75 years. Personnel bioassays maintained by safety 
officers destroy after individual leaves the organizations or is no 
longer occupationally exposed; all other personnel bioassays are 
destroyed after 75 years. Ionizing radiation authorized personnel user 
listings destroy 5 years after transfer or separation of individual. 
Radiation incident cases are destroyed after 75 years.

System manager(s) and address:
    Commander, U.S. Army Aviation Missile Command Ionizing Radiation 
Dosimetry Branch, Building 5417, Redstone Arsenal, AL 35898-5000.

Notification procedure:
    Individuals seeking to determine whether information about 
themselves is contained in this system should address written inquiries 
to Commander, U.S. Army Aviation Missile Command Ionizing Radiation 
Dosimetry Branch, Building 5417, Redstone Arsenal, AL 35898-5000.
    Individual must furnish full name, Social Security Number, dates 
and locations at which exposed to radiation or radioactive materials, 
etc., and signature.

Record access procedures:
    Individuals seeking access to information about themselves 
contained in this system should address written inquiries to Commander, 
U.S. Army Aviation Missile Command Ionizing Radiation Dosimetry Branch, 
Building 5417, Redstone Arsenal, AL 35898-5000.
    Individual must furnish full name, Social Security Number, dates 
and locations at which exposed to radiation or radioactive materials, 
etc., 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, dosimetry film, Army and/or DoD records and 
reports.

Exemptions claimed for the system:
    None.
A0040-31a DASG

System name:
    Pathology Consultation Record Files (August 7, 1997 62 FR 42530).
    Changes:
* * * * *

Categories of individuals covered by the system:
    Delete entry and replace with ``Individuals treated worldwide in 
military, Federal, or civilian medical service facilities whose cases 
were reviewed on a consultative, educational, or research basis by 
Armed Forces Institute of Pathology's staff.''

Categories of records in the system:
    Delete entry and replace with ``Documents, digital images, 
microscopic glass slides, paraffin-embedded tissue blocks, formalin-
fixed tissue, frozen fresh tissue, x-ray, photographs, and any other 
material sent in with the case or generated by the Armed Forces 
Institute of Pathology in reviewing the case or using the case in 
research of education activities.''
* * * * *
    Routine uses of records maintained in the system, including 
categories of users and the purposes of such uses:
    Add a new paragraph to the end of the entry.

    ``Note: This system of records contains individually 
identifiable health information. The DoD Health Information Privacy 
Regulation (DoD 6025.18-R) issued pursuant to the Health Insurance 
Portability and Accountability Act of 1996, applies to most such 
health information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.''

Storage:
    Delete entry and replace with ``Paper and photographs in file 
folders, X-rays, electronic storage media, tissue blocks in appropriate 
storage containers; and microscopic slides in cardboard file folders.''

Safeguards:
    Delete entry and replace with ``Records are stored in secured rooms 
protected by cipher locks accessible to personnel having a need-to-know 
in the performance of their official duties. Access to computerized 
information is controlled by password and is restricted to personnel 
having a need-to-know, who are also properly screened and trained in 
access procedures.''
* * * * *

A0040-31a DASG

System name:
    Pathology Consultation Record Files.

System location:
    Armed Forces Institute of Pathology, 6825 16th Street, NW., 
Washington, DC 20306-6000.

Categories of individuals covered by the system:
    Individuals treated worldwide in military, Federal, or civilian 
medical service facilities whose cases were reviewed on a consultative, 
educational, or research basis by Armed Forces Institute of Pathology's 
staff.

Categories of records in the system:
    Documents, digital images, microscopic glass slides, paraffin-
embedded tissue blocks, formalin-fixed tissue, frozen fresh tissue, X-
ray, photographs, and any other material sent in with the case or 
generated by the Armed Forces Institute of Pathology in reviewing the 
case or using the case in research of education activities.

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; and Army Regulation 40-31, Armed Forces 
Institute of Pathology and Armed Forces Histopathology Centers; and 
E.O. 9397 (SSN).

Purpose(s):
    To ensure complete medical data are available to pathologist 
providing consultative diagnosis to requesting physician in order to 
improve quality of care provided to individuals; to provide a data base 
for education of medical

[[Page 14967]]

personnel; to provide a data base for medical research and statistical 
purposes and when required by law or for 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:
    Individual records may be released to referring physician, to 
physicians treating the individual, to qualified medical researchers 
and students, and to other Federal agencies and law enforcement 
personnel when requested for official purposes involving criminal 
prosecution, civil court action or regulatory orders.
    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.

    Note: This system of records contains individually identifiable 
health information. The DoD Health Information Privacy Regulation 
(DoD 6025.18-R) issued pursuant to the Health Insurance Portability 
and Accountability Act of 1996, applies to most such health 
information. DoD 6025.18-R may place additional procedural 
requirements on the uses and disclosures of such information beyond 
those found in the Privacy Act of 1974 or mentioned in this system 
of records notice.

Policies and practices for storing, retrieving, accessing, retaining, 
and disposing of records in the system:
Storage:
    Paper and photographs in file folders, X-rays, electronic storage 
media, tissue blocks in appropriate storage containers; and microscopic 
slides in cardboard file folders.

Retrievability:
    By last name or terminal digit number (Social Security Number) or 
accession number assigned when case is received for consultation.

Safeguards:
    Records are stored in secured rooms protected by cipher locks 
accessible to personnel having a need-to-know in the performance of 
their official duties. Access to computerized information is controlled 
by password and is restricted to personnel having a need-to-know, who 
are also properly screened and trained in access procedures.

Retention and disposal:
    Retained as long as case material has value for medical research or 
education. Individual cases are reviewed periodically and materials no 
longer of value to the Institute are destroyed.

System manager(s) and address:
    Chief, Automated Management Services, Armed Forces Institute of 
Pathology, 6825 16th Street, NW., Washington, DC 20306-2400.

Notification procedure:
    Individuals seeking to determine whether information about 
themselves is contained in this system should address written inquiries 
to the Administrator, Department of Epidemiology, Repository, and 
Research Services, Armed Forces Institute of Pathology, 6825 16th 
Street, NW., Washington, DC 20306-6000.
    Requesting individual must submit full name, name, Social Security 
Number or service number of military sponsor and branch of military 
service, if applicable, or accession 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 
contained in this system should address written inquiries to the 
Administrator, Department of Epidemiology, Repository, and Research 
Services, Armed Forces Institute of Pathology, 6825 16th Street, NW., 
Washington, DC 20306-6000.
    Requesting individual must submit full name, name, Social Security 
Number or service number of military sponsor and branch of military 
service, if applicable, or accession 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.

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:
    Interview, diagnostic test, other available administrative or 
medical records obtained from civilian or military sources.

Exemptions claimed for the system:
    None.

[FR Doc. 03-7105 Filed 3-26-03; 8:45 am]
BILLING CODE 5001-08-P