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4 Data Utilization and Records Management
Pages 26-28

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From page 26...
... Medical records must identify the patient, support the diagnosis, justify the treatment, and document follow-up care or referrals. Record keeping for employees in the nerve agent or mustard agent medical surveillance programs is described in the Army pamphlets Occupational Health Guidelines for the Evaluation and Control of Occupational Exposure to Nerve Agents GA, GB, GD and VX and Occupational Health Guidelines for the Evaluation and Control of Occupational Exposure to Mustard Agents H
From page 27...
... Therefore, it would be difficult to use worker monitoring data for program-level analyses or other studies. CORRELATING TIME/ACTIVITY AND CHEMICAL CONCENTRATION RECORDS One method of reconstructing worker exposure to a harmful chemical is to correlate location data from shift duty records, hazardous operations records maintained by the industrial hygiene program, and toxic area entry work records with area airborne agent or industrial hygiene workplace survey records.
From page 28...
... Complete, high-quality health and If the Army decides to create a programwide electronic database for tracking worker monitoring, guidance provided in three National Standards published by the American Society for Testing and Materials could be applicable: · E 1769-95 Standard Guide for Properties of Electronic Health Records and Record Systems · E 1902-97 Standard Guide for Management of the Confidentiality and Security of Dictation, Transcription, and Transcribed Health Records · E 1384-99 Standard Guide for Content and Structure of the Electronic Health Record A database based on these standards could significantly raise the quality of the program-wide database, reduce start-up problems, and facilitate CSDP's attainment of worker protection standards.


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