Environmental Engineering Reference
In-Depth Information
sibly managed by different contractors using different
record forms and content, could be a daunting task.
Electronic records with a common format could make
retrospective analyses much more feasible.
exposure data would help ensure the validity of the
study results.
STANDARDS FOR ELECTRONIC DATABASES
If the Army decides to create a programwide elec-
tronic database for tracking worker monitoring, guid-
ance provided in three National Standards published
by the American Society for Testing and Materials
could be applicable:
EMPLOYEE HEALTH INFORMATION AND
WORKPLACE MONITORING DATA
Health effects studies, such as epidemiological stud-
ies, utilizing employee health records require that the
records be complete, well maintained, and readily
accessible, and that they contain comparable informa-
tion. These requirements apply to records for all sites.
Therefore, automation and centralization of the records
is practically a necessity. Records from multiple CSDP
sites with multiple contractors at each site may be kept
in a variety of forms and according to a variety of pro-
cedures. Standardized forms and procedures for all sites
would ensure that records could be used for health
effects studies. Epidemiological studies on occupation-
ally related diseases are most meaningful when em-
ployee exposure data are available for correlation with
the health data. Complete, high-quality health and
•E 1769-95 Standard Guide for Properties of Elec-
tronic 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 Struc-
ture of the Electronic Health Record
A database based on these standards could signifi-
cantly raise the quality of the program-wide database,
reduce start-up problems, and facilitate CSDP's attain-
ment of worker protection standards.
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