# AGENCY:

 Office of the Secretary, DOD. 

# ACTION:

 Notice to alter a system of records. 

# SUMMARY:

 The Office of the Secretary proposes to alter an existing system of records in its inventory of record systems subject to the Privacy Act of 1974 (5 U.S.C. 552a), as amended. 

# DATES:

 This action will be effective without further notice on February 22, 2000, unless comments are received that would result in a contrary determination. 

# ADDRESSES:

 Send comments to the OSD Privacy Act Coordinator, Records Section, Directives and Records Branch, Directives and Records Division, Washington Headquarters Services, Correspondence and Directives, 1155 Defense Pentagon, Washington, DC 20301-1155. 

# FOR FURTHER INFORMATION CONTACT:

 Mr. David Bosworth at (703) 588-0159. 

# SUPPLEMENTARY INFORMATION:

                     The complete inventory of Office of the Secretary record system 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.                     Start Printed Page 3211

The proposed altered system report, as required by 5 U.S.C. 552a(r) of the Privacy Act was submitted on January 5, 2000, to the House Committee on Government Reform, the Senate Committee on Governmental Affairs, and the Office of Management and Budget (OMB) pursuant to paragraph 4c of Appendix I to OMB Circular No. A-130, ‘Federal Agency Responsibilities for Maintaining Records About Individuals,’ dated February 8, 1996, (61 FR 6427, February 20, 1996). 

Dated: January 13, 2000. 

L.M. Bynum, 

Alternate OSD Federal Register Liaison Officer, Department of Defense. 

## DHA 07 

### System name: 

                        Defense Medical Information System (DMIS)                         *(May 20, 1998, 63 FR 13641).*

### Changes: 

* * * * *

### Categories of individuals covered by the system: 

Delete “Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).” 

### Categories of records in the system: 

Delete “CHAMPUS”. 

* * * * *

### Routine uses of records maintained in the system, including categories of users and purposes of such uses: 

Delete paragraph two and replace with ‘To permit the disclosure of records to the Department of Health and Human Services (HHS) and its components for the purpose of conducting research and analytical projects, and to facilitate collaborative research activities between DoD and HHS.’ 

* * * * *

## DHA 07 

### System name: 

Defense Medical Information System (DMIS). 

### System location: 

Primary location: Directorate of Information Management, Building 1422, Fort Detrick, MD 21702-5000 with Region-specific information being kept at each Office of the Assistant Secretary of Defense (Health Affairs) designated regional medical location. A complete listing of all regional addresses may be obtained from the system manager. 

Secondary location: Service Medical Treatment Facility Medical Centers and Hospitals, and Uniformed Services Treatment Facilities. For a complete listing of all facility addresses write to the system manager. 

### Categories of individuals covered by the system: 

Uniformed services medical beneficiaries enrolled in the Defense Enrollment Eligibility Reporting System (DEERS) who receive medical care at one or more of DoD's medical treatment facilities (MTFs), or one or more of the Uniformed Services Treatment Facilities (USTFs), or who have care provided under the TRICARE programs. 

### Categories of records in the system: 

Selected data elements extracted from the DEERS beneficiary and enrollment records. Electronic files containing beneficiary identifier, date of birth, gender, sponsor status (active duty or retired), relationship of patient to sponsor, pay grade of sponsor, state or country, zip code, and enrollment and eligibility status. 

Individual patient hospital discharge records. Electronic files containing patient ID, date of birth, gender, sponsor status (active duty or retired), relationship to sponsor, pay grade of sponsor, state or country, zip code, health care dates and services, provider, service status, health status, billed amount, allowed amount, amount paid by beneficiary, amount applied to deductible, and amount paid by government. 

Selected data elements extracted from the TRICARE, National Mail Order Pharmacy, or other purchased care medical claims records. Electronic files containing patient ID, date of birth, gender, sponsor status (active duty or retired), relationship to sponsor, pay grade of sponsor, state or country, zip code, health care dates and services, provider, service status, health status, billed amount, allowed amount, amount paid by beneficiary, amount applied to deductible, and amount paid by government. 

Data elements extracted from the DEERS electronic Non-availability Statement application. Records containing beneficiary ID, date and types of health care services not covered by the issuing entity (MTFs, etc.), along with other demographic and issuing entity information. 

### Authority for maintenance of the system: 

5 U.S.C. 301, Departmental Regulation; 10 U.S.C., Chapter 55; and E.O. 9397 (SSN). 

### Purpose(s): 

DMIS collects data from multiple DoD electronic medical systems and processes and integrates the data in a manner that permits health management policy analysts to study, evaluate, and recommend changes to DoD health care programs. Analysis of beneficiary utilization of military medical and other program resources is possible using DMIS. Statistical and trend analysis permits changes in response to health care demand and treatment patterns. The system permits the projection of future Medical Health Services (MHS) beneficiary population, utilization requirements, and program costs to enable health care management concepts and programs to be responsive and up to date. 

The detailed patient level data at the foundation of DMIS permits analysis of virtually any aspect of the military health care system. 

### 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 permit the disclosure of records to the Department of Health and Human Services (HHS) and its components for the purpose of conducting research and analytical projects, and to facilitate collaborative research activities between DoD and HHS. 

To the Congressional Budget Office for projecting costs and workloads associated with DoD Medical benefits. 

To the Department of Veterans Affairs (DVA) for coordinating cost sharing activities between the DoD and DVA. 

The ‘Blanket Routine Uses’ set forth at the beginning of OSD's compilation of systems of records notices apply to this system. 

### Policies and practices for storing, retrieving, accessing, retaining, and disposing of records in the system: 

### Storage: 

Records are maintained on optical and magnetic media. 

### Retrievability: 

Records may be retrieved by individual's Social Security Number, sponsor's Social Security Number, Beneficiary ID (sponsor's ID, patient's name, patient's DOB, and family member prefix or DEERS dependent suffix). 

### Safeguards: 

                        Automated records are maintained in controlled areas accessible only to                         Start Printed Page 3212                        authorized personnel. Entry to these areas is restricted to personnel with a valid requirement and authorization to enter. Physical entry is restricted by the use of a cipher lock. Back-up data maintained at each location is stored in a locked room.                     

Access to DMIS records is restricted to individuals who require the data in the performance of official duties. Access is controlled through use of passwords. 

### Retention and disposal: 

Disposition pending (until NARA disposition is approved, treat as permanent). 

### System manager(s) and address: 

Corporate Executive Information System Program Office, Six Skyline Place, Suite 809, 5111 Leesburg Pike, Falls Church, VA 22041-3201. 

### Notification procedure: 

Individuals seeking to determine whether information about themselves is contained in this system should address written inquiries to the Corporate Executive Information System Program Office, Six Skyline Place, Suite 809, 5111 Leesburg Pike, Falls Church, VA 22041-3201. 

Requests should contain the full names of the beneficiary and sponsor, sponsor Social Security Number, sponsor service, beneficiary date of birth, beneficiary sex, treatment facility(ies), and fiscal year(s) of interest. 

### Record access procedures: 

Individuals seeking access to information about themselves contained in this system of records should address written requests to Corporate Executive Information System Program Office, Six Skyline Place, Suite 809, 5111 Leesburg Pike, Falls Church, VA 22041-3201. 

Requests should contain the full names of the beneficiary and sponsor, sponsor Social Security Number, sponsor service, beneficiary date of birth, beneficiary sex, treatment facility(ies) that have provided care, and fiscal year(s) of interest. 

### Contesting record procedures: 

The OSD rules for accessing records, for contesting contents and appealing initial agency determinations are contained in OSD Administrative Instruction 81; 32 CFR part 311; or may be obtained from the system manager. 

### Record source categories: 

The individual data records that are assembled to form the DMIS data base are submitted by the Military Departments, the Defense Enrollment Eligibility Reporting System, the Uniformed Service Treatment Facility Managed Care System, the Health Care Finance Administration, and the National Mail Order Pharmacy, Defense Supply Center, Philadelphia, PA. 

### Exemptions claimed for the system: 

None. 

[FR Doc. 00-1318 Filed 1-19-00; 8:45 am] 

BILLING CODE 5001-10-F