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NAVEDTRA 14295B HOSPITAL CORPSMAN > CH 4 MEDICAL RECORDS > Flashcards

CH 4 MEDICAL RECORDS Flashcards

0
Q

Three major categories of primary medical records?

A

HREC
ORECs (including dental for retirees)
IRECs

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1
Q

Guidelines for record management are in what chapter of MANMED P-117?

A

16

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2
Q

To open a secondary record, write a note on what document in the primary treatment record?

A

DD Form 2766

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3
Q

Secondary records include?

A

Convenience
Temporary
Ancillary

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4
Q

Temporary record must contain what forms at a minimum?

A

Privacy Act Statement, DD 2005
Dental Health Questionnaire, NAVMED 6600/3
Dental Treatment Form, EZ603A

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5
Q

Medical record jacket?

A

NAVMED 6150/21-30

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6
Q

FMP 01-19

A

Children

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7
Q

FMP 30-39

mast-mob

A

Spouse

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8
Q

FMP 40-44

rice-rar

A

Mother/stepmother

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9
Q

FMP 45-49

rail-rabi

A

Father, Stepfather

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10
Q

FMP 50-54

lace-lord

A

Mother-in-law

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11
Q

FMP 55-59

lul-lab

A

Father-in-law

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12
Q

FMP 60-69

cheese-jab

A

Other authorized dependents

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13
Q

FMP 90-95

bus-bell

A

Beneficiary authorized by statute

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14
Q

FMP 98

A

Civilian Emergencies

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15
Q

FMP 99

A

All others

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16
Q

Imprint of privacy act statement is what form #

A

DD 2005

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17
Q

Health records are filed according to what system?

A

Terminal Digit Filing System (TDFS)

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18
Q

How is the social broken up in the TDFS?

A

12
34
567-89

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19
Q

TDFS is divided into how many sections?

A

100 (00-99)

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20
Q

Record jacket colors?

Old Guys Yell
Girls Talk
Boys Wander
And Parents Rest

A 
0 = ORANGE
1 = GREEN
2 = YELLOW
3 = GREY
4 = TAN
5 = BLUE
6 = WHITE
7 = ALMOND
8 = PINK
9 = RED
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21
Q

PINK CARD (Charge out form)

A

NAVMED 6150/7

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22
Q

Part I

NAVMED 6150

A

Summary of care (always on top)

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23
Q

Part I

SF 601

A

Immunization record

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24
Q

Part I

NAVMED 6000/2

A

HIV testing

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25
Q

Part I

DD 771

A

Eyewear prescription

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26
Q

PART I
NAVMED 6490/1
(jar bus/gun)

A

Visual Record

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27
Q

Part I
NAVMED 6470/10
(jar case/fox)

A

Exposure to Ionizing Radiation

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28
Q

Exposure to Ionizing Radiation from Internally Deposited Radionuclide

A

Part I
NAVMED 6470/11
(Jar/Case/Ensign)

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29
Q

Part I

DD 2215

A

Reference Audiogram

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30
Q

Part 1

DD 2216

A

Hearing conservation data

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31
Q

Part 1
6224/1
(jan nerd/gun)

A

TB contact converter follow-up

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32
Q

Part 1
NAVMED 6260/5
(jan cheese/hive)

A

Asbestos medical surveillance program

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33
Q

Part I
DD 2493-1 (part i and ii)
(nerd bum)

A

Asbestos exposure - initial and periodic medical questionaire

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34
Q

Part 1
OPNAV 5100/15
(loot sos/tall)

A

Medical Surveillance Questionnaire

35
Q

Part 2
NAVPERS 5510/1
(lul toes/gun)

A

Record Identifier for Personnel Reliability Program (PRP)

36
Q

Part 2

SF 558

A

Medical Record - Emergency Care and Treatment record of Ambulance Care

37
Q

Part 2

SF 513

A

Medical Record Consultation Sheet

38
Q

Part 2
DD 2161
(net chat)

A

Referral for Civilian Medical Care

39
Q

Part 2

Top sheet when patient is deceased

A

Attestation sheet

40
Q

Part 2

DD 2064

A

Certification of Death

41
Q

Part 2

SF 503

A

Autopsy Protocol

42
Q

Part 2

SF 523

A

Authorization of autopsy

43
Q

Part 2

SF 523A

A

Disposition of body

44
Q

Part 2

SF 523B

A

Authorization for Tissue Donation

45
Q

Inpatient Admission Disposition Record

A

NAVMED 6300/5

46
Q

Narrative summary

A

SF 502

47
Q

Abbreviated Medical Record

A

SF 539

48
Q

Progress Notes

A

SF 509

49
Q

Operation Report

A

SF 516

50
Q

Anesthesia form?

A

SF 517

51
Q

Request for Administration of Anesthesia

A

SF 522

52
Q

Prenatal and Pregnancy Civilian Medical Care Notes

A

SF 233

53
Q

Patient Evaluation Tag

A

DD 602

54
Q

Part 3
NAVMED 1300/1
(Dam/SOS/gun)

A

Medical & Dental Overseas Screening

55
Q

PART 3
NAVPERS 1300/16
(Dam SOS/dodge)

A

Report of Suitability for overseas assignment

56
Q

Part 3
NAVMED 6100/1
(Chat,SOS/gun)

A

Med Board Report Cover Sheet

57
Q

Part 3
NAVMED 6100/2
(Chat,SOS/glue)

A

Med Board Statement of Patient

58
Q

Part 3
NAVMED 6100/3
(Chat,SOS/tree)

A

Med Board Certificate

59
Q

Part 3
NAVMED 6100/5
(Chat,SOS/hive)

A

Abbreviated Temporary Limited Duty

60
Q

Part 3
SF 2824C
(knife nerd)

A

Physician Statement for Employee Disability Retirement

61
Q

Part 3

SF 47

A

Physical Fitness Inquiry for Motor Vehicle Operators

62
Q

Part 3
SF 78
(cuff)

A

Certificate of Medical Examination

63
Q

Part 3
NAVMED 6150/4
(Chat,lace/core)

A

Abstract of Service and Medical History

64
Q

Part 3

NAVJAG 5800/10

A

Injury report

65
Q

Part 3
NAVPERS 1754/1
(tac lord/cross)

A

Exceptional Family Member Program Application

66
Q

Part 3
OPNAV 5211/9
(land tat/snow)

A

Record of Disclosure, Privacy Act 1974

67
Q

Part 3

DD 877

A

Request for medical/dental records

68
Q

Part 3

DD 2005

A

Privacy Act Statement

69
Q

Part 4

SF 217

A

Epilepsy Medical Report

70
Q

Part 4

SF 515

A

Tissue Examination

71
Q

Part 4

SF 519A

A

Radiographic Report

72
Q

Part 4

SF 519B

A

Radiologic Consultation Request/Report

73
Q

Part 4

SF 519

A

Medical Record - Radiographic Reports

74
Q

Part 4

SF 518

A

Blood or Blood Component Transfusion

75
Q

Part 4

SF 520

A

EKG request

76
Q

Part 4

SF 524

A

Radiation Therapy

77
Q

Part 4

SF 525

A

Radiation Therapy Summary

78
Q

Part 4

SF 53

A

Neurological Examination

79
Q

Part 4

SF 531

A

Anatomical Figure

80
Q

Part 4

SF 545

A

Lab Report Display

81
Q

Part 4

SF 559

A

Alergen Extract Prescription new and refill

82
Q

Part 4

SF 511

A

Vital signs record

83
Q

Part 4

SF 512

A

Plotting Chart

84
Q

Part 4

SF 512a

A

Blood pressure plotting chart

85
Q

What should be done when duplicating part of a record?

A

Print “DUPLICATE” on the bottom of each form

86
Q

Protocol for recording anthrax immunizations is outlined in what instruction?

A

SECNAVINST 6230.4

NAVEDTRA 14295B HOSPITAL CORPSMAN (17 decks)

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