INFORMATION
SYSTEMS MANAGEMENT
OBJECTIVE:
Provide basic knowledge of Information Systems (IS), including management of computer systems hardware, applications, infrastructure, and security activities.
INTRODUCTION
Guidance and policies on Information Systems apply to all personnel involved in the planning, acquisition, management and use of medical information systems. AFI 41-211 consolidates the activities of information systems management into a coordinated effort supporting the initiatives and goals of the Air Force Surgeon General (SG). It identifies integrated planning activities to support the design, development, implementation, and maintenance of automated systems within the Air Force Medical Service (AFMS).
AFI 33-202 provides guidance on computer security (COMPUSEC). COMPUSEC assures that measures are taken to effectively and efficiently protect all AF Information System resources and information. Appropriate protection against IS threats prevents loss of service, corruption of information and fraud, waste and abuse.
OVERVIEW
·
Purpose
of Medical Information Systems (MIS)
·
Appointments
and Roles of IS Leadership and Staff
·
Planning
·
Procurement
·
Inventories
·
Security
of Assets and Information Processing
-
Proper
Control Processes
-
COMPUSEC
-
Personal
Responsibility For Assigned Equipment
·
Local
Area Network (LAN) Access
·
Identify
Software Applications That May Be Utilized In Deployed Environments
·
Training
REFERENCES
AFPD 33-1 Command,
Control, Communications and Computer (C4) Systems
AFPD 33-2 Information
Protection
AFI 33-101 Communications
and Information Management Guidance and Responsibilities
AFI 33-103 Requirements
Development and Processing
AFI 33-112 Computer
Systems Management
AFI 33-114 Software
Management
AFI 33-115V1 Network
Management
AFI 33-119 Electronic
Mail (E-mail) Management and Use
AFI 33-122 Computer
System Manuals
AFI 33-202 Computer
Security
AFI 33-204 Information
Protection Security Awareness, Training, and Education (SATE) Program
AFI 33-211 Communications
Security (COMSEC) User Requirements
AFI 37-132 Air
Force Privacy Act Program
AFI 41-211 The
Medical Information Systems Management Program
AFI 65-601V1 Budget
Guidance and Procedures
AFI 65-601V2 Budget
Management for Operations
AFI 65-601V3 The
Air Force Budget Corporate Process
PD 33-2 AFRC
Wireless Local Area Network
PRESENTATION
The position of the Medical Information Systems (MIS) Officer, commonly called the Systems Officer, is critical. The MIS designee must possess superior communication and people skills as well as the necessary technical skills.
A.
MIS
Officer Activities
The purpose of MIS is for AF health care managers to
be able to collect, maintain, and retrieve timely and accurate information for
planning, organizing, directing, coordinating, and controlling IS operations of
the AFMS according to the priorities of the AF SG. The MIS program aims to:
·
Identify
and document system requirements to support current and future business
practices.
·
Minimize
duplication in reporting and data collecting.
·
Promote
information sharing among the military medical community, MAJCOM SG offices,
headquarters, and the Defense Medical Systems Support Center (DMSSC).
·
Simplify,
integrate, and modernize MIS procedures.
·
Ensure
physical, administrative, and technical security measures and management
standards are adequate for protecting sensitive information and classified
data.
·
Establish
an effective MIS architecture to support the AFMS mission consistent with DMSSC
and AF plans.
·
Ensure
procured or developed MIS applications are compatible with existing or planned
standards.
B.
Appointment and Roles of
IS Leadership and Staff
AF MIS officers perform
different roles (see AFI 41-211, Section B for more details). The officer must
lead the medical unit/Medical Treatment Facility (MTF) IS Office in:
·
Providing
information systems support to organization members.
·
Developing
strategic and tactical information systems plans to support the organizational
goals and implementing an effective use of information resources.
·
Supporting
the implementation and management of MIS within the organization, including
site preparation, system installation, supply needs, configuration management,
user orientation, and general training.
·
Advising
the commander and medical staff in the proper use of information derived from
MIS data collection and analysis.
·
Serving
as sole liaison between base communication agencies and the unit/MTF, two
organizations that often have conflicting communication and MIS priorities.
·
Serving
as the base communication squadron’s person of responsibility and
accountability for ensuring line communication and Air Force Computer Emergency
Response Team (AFCERT) security measures are
implemented immediately upon publication.
The unit/facility commander appoints a CIO/MIS
officer from the Medical Service Corps (MSC) staff. This person is responsible for IS planning, development, and
management at the medical organization and is accountable for all automated
data processing equipment in the inventory. Active duty facilities usually have
systems-dedicated staff; however, in the Air Reserve Component (ARC) community,
one person is normally in charge of the entire IS function. Therefore, it is
especially important for ARC facilities to develop an organizational working
group with representation from all key functional areas.
Planning, managing and maintaining IS requires teamwork. Few facilities are blessed with a readily trained computer IS specialist; therefore, the MIS officer must be prepared to carefully determine both the staff’s motivation and propensity to quickly learn new systems technology.
Units/MTFs will also appoint a person to be the focal point for computer operations (not accountability) issues. This person is called the Organization Computer Manager (OCM) or Computer Systems Security Officer (CSSO) depending on component affiliation. The organization commander also appoints alternate CSSOs. A copy of the appointment letters must be sent to the Base Network Control Center (BNCC) or base Local Area Network (LAN) manager’s office to provide the line organization with points of contact within the medical community.
The OCM/CSSO will coordinate:
·
Data
security activities to include at a minimum:
·
Server
backup procedures (this will be done with the BNCC if the MTF does not host its
own LAN servers).
·
Off-site
storage of server back-up tapes to ensure security of network data and files.
·
Data
collection activities.
·
Instructions
to staff who use medical data collection systems such as Composite Health Care
System (CHCS), Combat Information Transfer System (CITS), Military Immunization
Tracking System (MITS), Defense Occupational Health Readiness System (DORHS)
and other large collections of data residing in medical facilities.
·
Inventory
and acquisition activities such as:
·
Coordinating
with various duty sections to determine their systems needs and requirements
and assisting them in the purchase and placement of these systems.
·
Validating
computer systems and related equipment requirements.
·
Judiciously
allocating computer resources.
·
Reporting
and turning-in excess equipment through Defense Reutilization Marketing Office
(DRMO) and validating the turn-in through the base communication office’s
master base inventory.
·
Training
activities:
·
Training
MTF staff to use software properly, to care for hardware, and to secure
systems.
·
Training
personnel and enforcing standards (with the cooperation and support of the
commander) concerning sensitive patient information, patient privacy, and other
healthcare information protected under the Health Information Portability and
Accountability Act of 1996.
·
Job
training of any assigned systems office staff.
·
Ensuring
all assigned personnel using computer systems, related equipment and software
have appropriate training and certification.
·
Administrative
Activities
·
Coordinating
support issues with applicable agencies.
·
Ensuring
staff training records are updated.
·
Accomplishing
yearly inventories.
·
Maintaining
training database (often done in cooperation with unit Education and Training
Office).
·
Working
with the BNCC to ensure network management procedures comply with contracting
documents.
·
Coordinating
certification for systems designated as deployable.
·
Direct
Support to Customers
·
Installing,
testing, and accepting systems according to the terms of the purchase contract
and instructions.
·
Managing
help desk activities (if the MTF is large enough to warrant such an office).
·
Contracting
with the facility manager and base civil engineer for facility support
requirements when those requirements affect network communications or systems
infrastructure.
·
Personally
assisting others within the organization in resolving computer system problems.
·
Managing
all computer equipment and software, and their interfaces to systems and
networks according to directives and instructions.
C.
Planning
A comprehensive MIS plan to support organizational needs is a must. The plan should identify all resources (equipment, personnel, funding) required to implement any initiatives. All plans will support strategic plans of the AF and AFMS.
The base communications agency or another MTF’s plan can be used as a template. The CIO/MIS officer must contact the BNCC or the command’s communication office and request a copy of their Target Infrastructure Plan. This plan will often explain what is expected of their organization’s communications plan and will usually, very specifically outline what hardware may or may not be purchased to attach to the LAN. Work with the local communications community when writing the MTF plan to help avoid conflict and redundancy with other plans. Base communication agencies can help identify upper level and wing planning actions. Including these agencies in the planning process should foster upper level support for the MTF’s needs.
IS programs, standardization
protocols and software demands are factors in a constantly changing environment
and definitely effect planning. Therefore it is critically important that the
MIS plan is continually updated and reviewed annually to keep it consistent
with new technology and MTF needs.
D.
Procurement
Budgeting is key to the
procurement process. The AF-33 series, AFI 65-601 and DoD guidance on Planning,
Programming, and Budgeting for Military Health Services Automated Information
Systems will be helpful in preparing and gaining funding. Without money, the
plans will go nowhere. Local or MAJCOM
Operations and Maintenance (O&M) funds are used to purchase computer
systems and related items.
An MIS Officer’s first task in obtaining an item is to educate the commander and executive staff on the importance of a defined and dependable yearly systems budget rather than depending on end-of-year fall-out money. As important as ISs are to an organization, very few MTFs actually have a systems budget in the way one would budget for other important infrastructure items like water, electricity and payroll. Because MTFs most often are driven to purchase computers at the fiscal year’s end with fall-out money, support for communications and IS is often left up to chance. In an era of shrinking budgets, the chance of getting fall-out money is getting slimmer every fiscal cycle. “Budgeting by fall-out” hinders the MIS Officer’s ability to plan strategically. The most critical accomplishment an MIS Officer can achieve is to establish a dedicated, yearly budget for Information Systems and communications.
The AF Form 3215,
Communications-Computer Systems Requirements Document is the main form required
to purchase computer related equipment.
Simply annotate on the form what your needs are (do you need a software
upgrade, a new PC, a scanner, etc?). Specific brand products can also be
annotated if available. The form is then sent to the Base Small Computers
Office. Their staff will make sure the item requested is the proper “technical
solution” to fulfill the need and meet base plan specifications. They will sign
and return the form to the MIS section; this grants permission to buy the
designated item.
There are various ways to
purchase desired IS items. O&M funding is used no matter which method is
used to acquire needed resources.
1.
AF
Form 9: The Resource Manager can provide assistance and guidance for
completing the Form 9. The Form requires an approval signature, usually that of
the unit/MTF commander; once approval has been authorized the needed equipment
purchase can be made.
2.
IMPAC
Card: The
International Merchant Purchase Authorization Card (IMPAC) is a unit-controlled
government credit card can also be used to buy items. Items costing more than
$2500 cannot be purchased with this method.
3.
Wing
purchase: For active duty, rarely will the wing buy the medical facility
computer equipment. Depending on the ARC location, grouped/mass buys of
computer equipment is a valid and normal process for medical units to get IS
equipment.
4.
MAJCOM: MAJCOM or Service Purchases: Larger projects
will often be funded by the MAJCOM or Service. For instance, AF bought each
facility computer resources they required to accomplish program objectives for
the Public Health Assessment (PHA) program. AFRC has purchased resources to
support the Drug Demand Reduction Program (DDRP) and MDS programs, to name a
few. MAJCOM/Service mass buys are becoming more popular due to volume discounts
and standardization policies.
E.
Inventories
An annual inventory of computer hardware is mandatory. The base communications area directs and sometimes conducts these inventories if your facility is small and lacks it’s own systems office. In larger units/MTFs, MIS staff are required to accomplish these systems hardware inventories.
It is critical to keep a day-to-day
inventory of laptop computers because these items tend to be centrally stored
in the systems office and lent out to users based on need. Laptops are a high
demand item and tend not to be returned or are returned missing accessories. As
the MIS Officer, you must ensure that a tracking system for laptops is in place
and that all contents and peripherals are accounted for upon the unit’s return.
Issuing a Temporary Issue Receipt (commonly referred to as a Hand Receipt), AF
Form 1297, is the best way to track laptop accountability. A Report of Survey
(DD Form 200) must be initiated for lost, stolen or damaged units.
An annual software inventory must also be done. Software, because it is easily transferred from machine to machine, is often found to be out of compliance – in other words, illegal or unpaid for versions of software get loaded onto machines without the user having properly purchased or documented it. A PC-by-PC software inventory ensures that only properly purchased software is installed. The MTF will be audited, usually once a year, by base communications to ensure that every copy of software on a PC has a corresponding certification and authorization.
Thanks to some interesting technologies, the software inventory is becoming easier to accomplish. Instead of sitting in front of each PC and writing down what software is found listed in the “Explorer,” Microsoft’s ® System Management Software (SMS)—now the AF standard for network management software—can automatically inventory every PC’s software and provide a report on all resources from the comfort of the central computer room.
All items with a value of
$500 or more must be included in the official Information Protection Management
System (IPMS) inventory. Main central processing units, regardless of value,
must also be on the IPMS inventory. Items such as keyboards and mouses are
considered part of the central processing unit (CPU) with the monitor usually
identified as a separate piece. Printers are also part of the IPMS tracking
process and are inventoried.
Many newer technologies are making their way into
facilities and have entered common use faster than the military is able to
create AFIs to address them. These items, although rarely found in OIs, should
be included in the inventory. These
items include, but are not limited to:
·
Read-write
CD drives (stand alone or installed in PCs)
·
DVD
drives (stand alone or installed in PCs)
·
Digital
cameras
·
Scanners
·
Digital
or Palm Assistants (Palm Pilots for example)
·
Pagers
(often times the responsibility of Facility Management)
·
Cell
Phones (often times the responsibility of Facility Management)
F.
Security
of Assets and Information Processing
The AF recognizes that information is a valuable DoD resource. Skillful management of the resource saves money and promotes work efficiency. It ensures the right customers get the right information quickly. Information must be managed from its creation through its disposition, ensuring it is available to support AF missions, yet protecting sensitive information from those who do not need it to complete their jobs. In the military health care environment, you have the responsibility of ensuring the protection of both militarily sensitive information and patient privacy information.
The information
below offers guidelines for the MIS Officer to follow in ensuring the proper
safeguarding of information and information systems.
The MIS Officer must create and enforce processes that guarantee the security of hardware, software, and information. The MIS Officer must have written guidelines and policies addressing:
·
Safeguarding
computer systems and information against sabotage and tampering.
·
Programming
servers against denial of service attacks.
·
Denial
of avenues for espionage involving information systems.
·
Prevention
of fraud, misappropriation, misuse of government information systems.
·
The
documentation and reporting of incidents involving the release of information
to unauthorized persons.
·
The
protection of hardware, firmware, software and information against unauthorized
disclosure, destruction, or modification.
There are some specific
actions to take to make sure hardware and software resources are utilized as
intended.
·
It
is a requirement to keep IS resources under double, physical locked protection
·
Access
to all IS programs must be password protected
·
Provide
protection from outside threats by controlling physical access to the system(s)
itself
·
Install
keyboard lock-outs, password protected screen savers and basic input/output
system (BIOS) boot up functions
·
Carefully
police access to systems carrying sensitive information (like readiness
training and mobility databases, CHCS, Web Based Integrated Training System
(WIBITS), MITS or DDRP) by ensuring only authorized users have access to the
drive or folders upon which these databases and programs are stored
There are stricter rules to follow when working with classified information. See AFI 31-401 for more details on the handling information classification levels.
2. COMPUSEC/Computer Security
The objectives of COMPUSEC
are to protect and maintain the availability, integrity, confidentiality, and
accountability of information system resources and information processed
throughout the system’s life cycle. Use countermeasures to achieve the four
objectives. Each safeguard and its associated controls constitute a
countermeasure. Security disciplines such as COMPUSEC, Information Security,
Emissions Security, Communications Security (COMSEC), etc., provide safeguards
to protect information. Controls are those administrative and management
activities that implement safeguards.
Do not use personally owned hardware or software to process classified information. Using personally owned computer resources for government work is strongly discouraged. A MIS Officer should rarely approve the use of personal computers or other LAN equipment being attached to the facility or base LAN. To allow such is a violation of almost all-corporate or military regulations dealing with computer security. Privately owned computers may be used for processing unclassified and sensitive information with Designated Approving Authority (DAA) approval but should never be attached to the LAN. See AFI 33-112 and AFI 33-114 for more information.
Likewise, no personal software, nor any other software for that matter, should be loaded onto government PCs unless authorized by the MIS Officer. Often times such software creates conflicts that require numerous hours of troubleshooting and can create “holes” in systems security through which unauthorized personnel can access systems.
If an incident occurs that
could compromise IS/MIS, report it. Report information system vulnerabilities,
security incidents, and virus attacks according to AFSSI 5021. Report
information system accreditation according to AFI 33-205.
Policies apply to all AF military, civilian personnel, volunteers and AF contractors who use, operate, or manage AF systems and facilities. Commanders, managers, and individuals must maintain and protect all items assigned to or used by them. Everyone is responsible for safeguarding AF property and may be held monetarily liable for negligent loss or destruction of the property. Not following established policy might lead to disciplinary action and/or imprisonment. Whenever in question, it is best to seek advice from the CIO/CSSO/OCM or the supervisor.
G. LAN Access
At smaller units/facilities, the base Communications Squadron (CS), be it military or civilian staffed, will be responsible for maintaining LAN accessibility to meet unit requirements; most active duty MTFs have their own LAN Administrator. In the event of deployment to a bare base site, self-sufficiency in managing computer and communication resources within the limitations of the equipment assigned Unit Type Code (UTC) equipment packages will be necessary. A CS unit can assist or take over IS operations at any point upon arrival.
Practices vary from base to
base regarding remote LAN access. Checking with the local communications
section/contractor at the members assigned base is necessary to find out what
the policy is for the specific location. The threatcon environment at the time
will have an impact on how available remote and regular LAN access is. It is not
uncommon during high threatcons for the base communications office to severely
limit the amount of network traffic a facility may use. This will often mean
the elimination of Internet usage and the request for significantly decreased
email usage.
Remote access (RAS) provides the user with IS
capabilities and privileges away from the MTF location. This capability allows
deployed or TDY personnel access to their email accounts (and sometimes their
data drives) from locations around the world. During increased threatcons, RAS
capability is often suspended. Appropriate certification must be coordinated
and approved by the DAA before RAS access is granted. Limitations and specific
protocols must be met before access is authorized. Once granted a system and/or
member could have RAS access to the military LAN where they are assigned. The
local communications authority can provide specifics for this privilege.
G.
Identify
Software Applications That May Be Utilized in Deployed Environments
As mentioned earlier in this material, the IS environment is continually and rapidly changing. Any software listed here will most likely change in the future. Keeping in touch with the most current applications will remain the responsibility of the individual.
An MIS Officer should be familiar with the following software (this is not an all-inclusive list):
·
Desert
Care II – Patient/pharmacy tracking program similar to the peacetime active
duty medical facility application Composite Healthcare System (CHCS)
·
Defense
Management Requirements Information System (DMRIS)
·
KG-Ambulatory
Data System (KG-ADS)
·
Command
Core System (CCS)
·
Automated
Patient Evacuation System (APES)
·
TRANSCOM
Command and Control II Evacuation System (TRAC2ES)
·
Patient
Movement Items (PMI) – Tracks equipment used in the Aeromedical Evacuation
System.
·
Telemedicine
H.
Training
Training is vital. The MIS officer must ensure that all staff members using computers have received adequate training regarding:
· User responsibility for protecting sensitive information relating to patient privacy issues (this must be documented).
· User actions necessary for preventing destruction or disappearance of computer systems.
· The proper use of complicated systems such as CHCS or PHA to ensure correct and accurate data is input into these systems.
· The proper use of basic office automation programs (Word, PowerPoint, Excel, Access).
· The proper use of Internet and Email (specifically, clearly stating the rules concerning the viewing or forwarding of racist, sexist, harassing, or pornographic materials and the punishments for such behaviors).
Even the smallest active duty MTF should offer some in-house training. If an MTF is unable to offer training, MIS Officers should look to other groups to see if it is possible to join their training programs. Some ARC bases have civilian professional staff designated to handle training on general office applications. Special medical applications are the responsibility of the medical unit. A point of contact is provided with each software application, and questions should be directed there.
The AF offers training based on need and availability of funding. Training in higher-levels of more complex programs (like CHCS, MITS, DDRP or WIBITS administration) may require TDYs to other locations that will involve increased cost to the unit/MTF. MIS Officers and their commanders should not hesitate to invest funds for such training since the long-term benefits of accurate information and more “up-time” for systems and networks usually far outweighs the cost.
SUMMARY
IS/MIS are highly visible programs operating in an ever-changing environment in both peacetime and wartime. Maintaining the availability, confidentiality, integrity, and accountability of IS resources and information is a primary concern. There are many rules, policies, directives, and much guidance to be aware of related to the IS program. COMPUSEC is a key part of managing and controlling IS. IS controls ensure the mission is accomplished in an effective and efficient manner, and that changes to the IS or its environments do not affect mission readiness.
FORMS
AF Form 9
Request for Purchase
AF Form 3215
C4 Systems Requirements Document
TERMINOLOGY
AF Standard Systems – AF specific automated medical information systems that are standardized across more then one command, or a major system requiring centralized oversight in its planning, implementation, or maintenance.
Architecture –
A framework
or structure that portrays relationships among all the elements of the subject
force, system or activity. A description of all functional activities to be
performed to achieve the desired mission, the system elements needed to perform
the functions, and the designation of performance levels of those systems.
Architecture also includes information on the technologies, interfaces, and
location of functions and is considered an evolving description of an approach
to achieving a desired mission.
Command,
Control, Communications, and Computer (C4) System – An integrated system of
doctrine, procedures, organizational structures, personnel, equipment,
facilities, and communications designed to support a commander’s exercise of
command and control, through all phases of the operational continuum. This
system includes visual information support systems. Within the AF referred to as Communications and Information
systems.
Designated
Approving Authority (DAA) - Organization or individual
that establishes necessary procedures and controls to protect information and
ensures availability and integrity of critical processes.
Defense
Medical Systems Support Center (DMSSC) – An organization under the Office of the
Assistant Secretary of Defense for Health Affairs that coordinates health
information planning, issues medical information systems and communication
policies and standards and evaluates medical information systems within the
DoD.
Documentation – The formal standardized
recording of detailed objectives, policies, and procedures governing
conception, authorization, design, testing, implementation, operation,
maintenance, modification, and disposition of data administration techniques
and applications. All DoD computer
systems documentation is written in accordance with DoD Instruction 7935.1-2.
Hardware – The generic term dealing
with physical items as distinguished form its capability function such as
equipment, tools, implements, instruments, devices, sets, fittings, trimmings,
assemblies, subassemblies, components, and parts. The term is often used in
regard to the stage of development, as in the passage of a device or component
from the design stage into the hardware stage as the finished object.
Information
System (IS)
– Any collection of people, information, equipment, facilities, procedures, and
other resources, organized to process information. “Processing” includes creating, collecting, protecting,
analyzing, storing, retrieving, manipulating, disseminating, and disposing of
information.
Life-Cycle
Management – The
management of a system or item, starting with the planning process and
continuing through successive management processes and associated life-cycle
management phases (0-5) and milestones (0-5). Milestone reviews and approval of
the activities performed in each proceeding life-cycle phase is required before
authority can be given to proceed to the next phase.
MIS
Applications
– Software and hardware that process information for specific purposes, such as
appointment scheduling, pharmacy, clinical laboratory, medical readiness
training, or personnel data.
Network Control Center (NCC)
– the base
focal point for network management, problem resolution, and computer
maintenance issues.
Resources – Any computer system,
computer system component hardware and software, contractual service,
personnel, supplies, and funds.
Software – A set of computer systems programs, procedures, and associated
documentation concerned with the operation of a computer system or data
processing system.
System – A computer system and its
external peripherals and software interconnected with another computer system.
Typical “systems” include laptop personal computer (PC), desktop PCs, networked
and distributed computer systems (e.g. servers, workstations, data management
processors, etc.), mainframe and “midsize” computers and associated
peripherals.
Wing Information Protection (IP) Office – Office that administers the wing IP program, advises the base computer systems security officer, and acts as the accreditation advisor to the designated approving authority. The office is within the wing communications unit.
ACRONYMS
AF Air Force
AFCERT Air
Force Computer Emergency Response Team
AFI Air Force Instruction
AFMS Air
Force Medical Service
AFPD Air
Force Policy Directive
APES Automated
Patient Evaluation System
ARC Air
Reserve Component
BNCC Base
Network Control Center
C4 Command, Control, Communication, Computers
C4I Command, Control, Communication, Computers, Intelligence
CCS Command Care System
CD Compact Disk
CHCS Composite
Healthcare System
CIO Chief Information Officer
CITS Combat
Information Transfer System
COMPUSEC Computer
Security
CPU Central Processing Unit
CSSO Computer
Systems Security Officer
DAA Designated
Approving Authority
DDRP Drug
Demand Reduction Program
DMRIS Defense Management Requirements
Information System
DMSSC Defense
Medical Systems Support Center
DORH-C Defense
Occupational Health Readiness System
DRMO Defense
Reutilization and Marketing Office
IMPAC International Merchant Purchase
Authorization Card
IPMS Information
Processing Management System
IS Information Systems
KG-ADS KG-
Ambulatory Data System
LAN Local
Area Network
MAJCOM Major
Command
MEDLOG Medical
Logistics
MIS Medical Information Systems
MITS Military
Immunization Tracking System
MSC Medical
Service Corps
MTF Military Treatment Facility
O&M Operations
and Maintenance
OCM Organization
Computer Manager
OI Operating Instruction
PC Personal Computer
PHCA Preventive
Health Care Assessment
PMI Patient Movement Items
SATE Security
Awareness Training and Education Program
SG Surgeon General
SMS System Management Software
TDY Temporary
Duty
TRAC2ES TRANSCOM
Command and Control II Evacuation System
UTC Unit Type Code
WIBITS Web
Based Integrated Training System