Federal Register / Vol. 63, No. 110 /Tuesday, June 9, 1998 / Notices 31481

ELECTRONIC ELEMENTS FOR SF 515

Item Placement*

Text:

Title: Pediatric Nursing Notes ............................................................................................................................................. Top of form.

Form ID: Standard Form 536 (Rev. 2–95) ......................................................................................................................... Bottom right corner

of form.

Data entry fields:

Date Hour

Temp Wt.

Diet

Amt. Taken

Vomited

Urine

Stools

Treatments, Medications

Nursing Notes

Patient’s Name—last, first, middle ...................................................................................................................................... Bottom left corner of

form.

Patient’s ID No. or SSN

Hospital or Medical Facility

Register No.

Ward No.

*If no placement indicated, items can appear anywhere on the form.

FOR FURTHER INFORMATION CONTACT:

The Interagency Committee for Medical

Records via General Services

Administration (CARM); 1800 F Street,

NW, Room 7136; Washington, DC

20405–0002.

Dated: May 12, 1998.

Capt. Patricia Buss, MC, USN,

Chairperson, Interagency Committee on

Medical Records.

[FR Doc. 98–15246 Filed 6–8–98; 8:45 am]

BILLING CODE 6820–34–P

GENERAL SERVICES

ADMINISTRATION

Interagency Committee for Medical

Records (ICMR); Automation of

Medical Standard Form 515

AGENCY: General Services

Administration.

ACTION: Guideline on Automating

Medical Standard Forms.

BACKGROUND: The Interagency

Committee on Medical Records (ICMR)

is aware of numerous activities using

computer-generated medical forms,

many of which are not mirror images of

the genuine paper Standard Form. With

GSA’s approval the ICMR eliminated

the requirement that every electronic

version of a medical Standard/Optional

form be reviewed and granted an

exception. The committee proposes to

set required fields standards and that

activities developing computergenerated versions adhere to the

required fields but not necessarily to the

image. The ICMR plans to review

medical Standard/Optional forms which

are commonly used and/or commonly

computer-generated. We will identify

those fields which are required, those (if

any) which are optional, and the

required format (if necessary). Activities

may not add data elements that would

change the meaning of the form. This

would require written approval from the

ICMR. Using the process by which

overprints are approved for paper

Standard/Optional forms, activities may

add other data entry elements to those

required by the committee. With this

decision, activities at the local or

headquarters level should be able to

develop electronic versions which meet

the committee’s requirements. This

guideline controls the ‘‘image’’ or

required fields but not the actual data

entered into the field.

SUMMARY: With GSA’s approval, the

Interagency Committee on Medical

Records (ICMR) eliminated the

requirement that every electronic

version of a medical Standard/Optional

form be reviewed and granted an

exception. The following fields must

appear on the electronic version of the

following form:

ELECTRONIC ELEMENTS FOR SF 515

Item Placement*

Text:

Title: Tissue Examination .................................................................................................................................................... Top of form.

Form ID: Standard Form 515 (Rev. 8–97) ......................................................................................................................... Bottom right corner

of form.

Data entry fields:

Specimen Submitted By

Date Obtained

Specimen

Brief Clinical History (Include duration of lesion and rapidity of growth, if a necoplasm)

Preoperative Diagnosis

Operative Findings

Postoperative Diagnosis

Signature

Name of Signer

Title of Signer

Pathological Report**
31482 Federal Register / Vol. 63, No. 110 /Tuesday, June 9, 1998 / Notices

ELECTRONIC ELEMENTS FOR SF 515—Continued

Item Placement*

Name of Laboratory

Accession No(s)***

Gross Description, Histologic Examination and Diagnoses

Signature of Pathologist

Name of Pathologist

Date****

Hospital or Medical Facility

Records Maintained At

Department/Service of Patient

Relation to Sponsor

Sponsor’s Name (Last, first, middle)

Sponsor’s ID Number (SSN or Other)

Patient’s Name (last, first, middle) ......................................................................................................................................

Patient’s ID No. or SSN ......................................................................................................................................................

Patient’s Sex .......................................................................................................................................................................

Patient’s Date of Birth .........................................................................................................................................................

Patient’s Rank/Grade ..........................................................................................................................................................

Register No.

Ward No.

Bottom left.

Corner of form.

(All items that

start with

‘‘Patient’s’’)

*If no placement indicated, items can appear anywhere on the form.

**Optional title to cover next 6 items in list.

***Date Pathologist signed form.

FOR FURTHER INFORMATION CONTACT: The

Interagency Committee for Medical

Records via General Services

Administration (CARM); 1800 F Street,

NW., Room 7136; Washington, DC

20405–0002.

Dated: May 12, 1998.

Capt. Patricia Buss, MC, USN,

Chairperson, Interagency Committee on

Medical Records.

[FR Doc. 98–15245 Filed 6–8–98; 8:45 am]

BILLING CODE 6820–34–M

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Office of the Secretary

Agency Information Collection

Activities: Submission for OMB

Review; Comment Request

The Department of Health and Human

Services, Office of the Secretary

publishes a list of information

collections it has submitted to the Office

of Management and Budget (OMB) for

clearance in compliance with the

Paperwork Reduction Act of 1995 (44

U.S.C. Chapter 35) and 5 CFR 1320.5.

The following are those information

collections recently submitted to OMB.

1. Applicant Background Survey—

0990–0208—Extension—This form will

be used to ask applicants for

employment how they learned about a

vacancy, to make sure that recruitment

sources yield qualified women, minority

and handicapped applicants in

compliance with EEOC Management

Directives. Respondents: Individuals;

Annual Number of Respondents:

310,000; Annual Frequency of

Response: one time; Average Burden per

Response: 2 minutes; Total Annual

Burden: 10,333 hours.

OMB Desk Officer: Allison Eydt.

Copies of the information collection

packages listed above can be obtained

by calling the OS Reports Clearance

Officer on (202) 690–6207. Written

comments and recommendations for the

proposed information collection should

be sent directly to the OMB desk officer

designated above at the following

address: Human Resources and Housing

Branch, Office of Management and

Budget, New Executive Office Building,

Room 10235, 725 17th Street N.W.,

Washington, D.C. 20503.

Comments may also be sent to

Cynthia Agens Bauer, OS Reports

Clearance Officer, Room 503H,

Humphrey Building, 200 Independence

Avenue S.W., Washington DC, 20201.

Written comments should be received

within 30 days of this notice.

Dated: May 29, 1998.

Dennis P. Williams,

Deputy Assistant Secretary, Budget.

[FR Doc. 98–15274 Filed 6–8–98; 8:45 am]

BILLING CODE 4150–04–M

DEPARTMENT OF HEALTH AND

HUMAN SERVICES

Agency for Health Care Policy and

Research

Notice of Meetings

In accordance with section 10(d) of

the Federal Advisory Committee Act (5

U.S.C. Appendix 2) announcement is

made of the following subcommittees

scheduled to meet during the month of

June 1998:

Name: Health Care Technology and

Decision Sciences.

Date and Time: June 12, 1998, 1:00 p.m.

Place: Agency for Health Care Policy and

Research, 2101 East Jefferson Street, Suite

400, Rockville, Maryland 20852.

Open June 12, 1:00 p.m. to 1:15 p.m.

Closed for remainder of meeting.

Name: Health Systems Research.

Date and Time: June 17, 1998, 8:00 a.m.

Place: Radisson Barcelo, 2121 P Street,

NW, Room TBD, Washington, DC 20037.

Open June 17, 8:00 a.m. to 8:15 a.m.

Closed for remainder of meeting.

Name: Health Care Quality and

Effectiveness Research.

Date and Time: June 19, 1998 8:00 a.m.

Place: Radisson Barcelo, 2121 P Street,

NW, Room TBD, Washington, DC 20037.

Open June 19, 8:00 a.m. to 8:15 a.m.

Closed for remainder of meeting.

Purpose: To review and evaluate grant

applications.

Agenda: The open session of the meetings

will be devoted to business covering

administrative matters and reports. During

the closed sessions, the Subcommittees will

be reviewing and discussing grant

applications dealing with health services

research issues. In accordance with the

Federal Advisory Committee Act, section

10(d) of 5 U.S.C., Appendix 2 and 5 U.S.C.,

552b(c)(6), the Administrator, Agency for

Health Care Policy and Research, has made

a formal determination that these latter

sessions will be closed because the

discussions are likely to reveal personal

information concerning individuals

associated with the applications. This

information is exempt from mandatory

disclosure.

Anyone wishing to obtain a roster of

members, minutes of the meetings, or other