97-13091. Interagency Committee for Medical Records (ICMR); Automation of Medical Standard Form 526

[Federal Register Volume 62, Number 97 (Tuesday, May 20, 1997)]
[Notices]
[Page 27611]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-13091]


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GENERAL SERVICES ADMINISTRATION


Interagency Committee for Medical Records (ICMR); Automation of 
Medical Standard Form 526

AGENCY: General Services Administration.

ACTION: Guideline on automating medical standard forms.

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Background

    The Interagency Committee on Medical Records (ICMR) are 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 data standards and 
require that activities developing computer-generated versions adhere 
to the required data elements 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 data 
elements 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 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.

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 data elements must appear on the electronic version of 
the following form:

                                         Electronic Elements for SF 526                                         
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                          Item                                                 Placement *                      
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Text:                                                                                                           
    Title Interstitial/Intercavitary Therapy...........  Top of form.                                           
    Form ID Standard Form 526 (Rev. 2-95)..............  Bottom right corner of form.                           
Data Entry Fields:                                                                                              
    Diagnosis                                                                                                   
    Date (treatment beginning date and time)                                                                    
    Isotope                                                                                                     
    Total Quantity (MG/mCi)                                                                                     
    Applicator                                                                                                  
    Total Time (Hrs.)                                                                                           
    Diagram                                                                                                     
    Dose Information                                                                                            
    Signature of Physician                                                                                      
    Date (Physician's signature)                                                                                
    Identification No.                                                                                          
    Organization                                                                                                
    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.                                                                                                    
    Date (of treatment)                                                                                         
    Record of Treatments                                                                                        
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* If no placement indicated, items can appear anywhere on the form.                                             

FOR FURTHER INFORMATION CONTACT:
CDR Patricia Buss, MC, USN; [phone].

    Dated: May 13, 1997.
CDR, Patricia Buss, MC, USN,
Chairperson, Interagency Committee on Medical Records.
[FR Doc. 97-13091 Filed 5-19-97; 8:45 am]
BILLING CODE 6820-34-M