14295B HM manual chapter 4 Medical Records

Question 1

What U.S. Navy medical outpatient and dental treatment record you Navy and Marine Corps personnel as well as DOD eligible beneficiaries that utilize as their official record jacket for the chronological documentation of medical and dental evaluations care treatment and occupational health

Answer 1

NAVMED 6150/21-30

Question 2

What medical records are used for the documentation of outpatient medical and dental care

Answer 2

Primary

Question 3

What is the file of continuous care given to active duty members that document all outpatient care provided during their career

Answer 3

HREC HEALTH RECORD

Question 4

What contains all the dental care documentation provided during a members career

Answer 4

DREC DENTAL RECORD

Question 5

What file of continuous care documents the amatory treatment received by a person other then an active duty person IE retired and family member

Answer 5

OREC OUT PATIENT RECORD

Question 6

What medical file documents to to care provided to the the patient assigned to a designated inpatient bed at an military treatment facility or ship

Answer 6

IREC

Question 7

Opening a secondary medical record requires the healthcare provider to write a note on what form and the primary treatment record

Answer 7

DD 2766

Question 8

What record contains the excerpts from a patient’s primary record which is kept within the military treatment facility by treating clinic service department for individual provider for increased access to the information

Answer 8

Convenience

Question 9

What record consists of original healthcare documentation withheld from patient’s primary Health record or outpatient record

Answer 9

Ancillary

Question 10

What system does them Navy medical department use the file health records

Answer 10

Terminal digit filing system TDFS

Question 11

Approximately how many people sections are the central files divided into under the terminal digit filing system

Answer 11

1OO

Question 12

Also known as the pink card what charge out from health records receipt will be used for the charge out control of medical records

Answer 12

NAVMED 6150/7

Question 13

Records charged out from the file should be returned within how many were working days or as soon as possible after the patient’s visit

Answer 13

5

Question 14

What may be used in conjunction with the charge out form when Open shelf filing is used for records

Answer 14

Charge out guide

Question 15

How often are all records verified by medical and dental personnel having custody of them

Answer 15

Annually

Question 16

What form will be HM make an entry for medical records as well as blacking out corresponding hear block on the front lease of the jacket with a Black felt tip pen upon completion of an annual medical record verification

Answer 16

SF 600

Question 17

Upon final discharge or death the completed and verified health and dental records must be sent to the commands maintaining the member service record (no later than how many days following separation) for inclusion in the transmittal with the member service record

Answer 17

One day

Question 18

Hound Long should lose forms be retained after reasonable search efforts do not locate the record

Answer 18

One year

Question 19

What form eights healthcare providers by allowing them quick access to pertinent medical factors that may affect how they manage the patients Medicare

Answer 19

DD 2766

Question 20

How many pages is the form DD 2766 divided into

Answer 20

04

Question 21

What form provides a continuous comprehensive record of the patient’s medical history

Answer 21

SF 600

Question 22

What form is routinely use for inpatient admission notes and is filed in the patients IREC

Answer 22

SF 509

Question 23

When a member of the Naval services incurs an injury that might result in permanent disability or result in a physical inability to form duty four. Exceeding how many hours and entry will be made concerning line of duty misconduct

Answer 23

24

Question 24

In what series is the specific protocol for recording anthrax in musicians outlined in

Answer 24

SECNAVINST 6230.4

Question 25

Refer to BUMEDINST 6224.8 serious tuberculosis control programs for guidance when recording positive results (of how many millimeters or more induration) of the tuberculin skin test (TST)

Answer 25

10 mm

Question 26

What form should any immunizations record on the PHS-731 be transmitted onto

Answer 26

DD 2766

Question 27

According to international rules entries on the PHS-731 require authorization for immunizations against smallpox(if administered) yellow fever cholera and what else

Answer 27

Anthrax

Question 28

What form is initiated when military personnel are first exposed to ionizing radiation(with the exception of patients incurring such radiation while undergoing diagnostic treatment)

Answer 28

DD form 1141

Question 29

What form is used to summarize clinical data relative to treatment received during periods of hospitalization

Answer 29

SF 502

Question 30

The SF 539 maybe use as a substitute for the narrative summary for those admissions of minor nature that require less than how many hours of hospitalization

Answer 30

48 hours

Question 31

What form is used for outpatients who need to be referred to other healthcare providers or specialist such as gynecologist internist her optometrist

Answer 31

SF 513

Question 32

What form is used to order corrective prescription eyewear

Answer 32

DD form 771

Question 33

Who is the official responsible for the admission and supervision of the execution of the SACNAVINST 5211.5 series department of the Navy privacy act program as it pertains to the healthcare treatment records system

Answer 33

Surgeon General of the Navy