CH 4 MEDICAL RECORDS Flashcards by Corey Nasfell

Three major categories of primary medical records?

HREC
ORECs (including dental for retirees)
IRECs

How well did you know this?

Not at all

Perfectly

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

How well did you know this?

Not at all

Perfectly

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

DD Form 2766

How well did you know this?

Not at all

Perfectly

Secondary records include?

Convenience
Temporary
Ancillary

How well did you know this?

Not at all

Perfectly

Temporary record must contain what forms at a minimum?

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

How well did you know this?

Not at all

Perfectly

Medical record jacket?

NAVMED 6150/21-30

How well did you know this?

Not at all

Perfectly

FMP 01-19

Children

How well did you know this?

Not at all

Perfectly

FMP 30-39

mast-mob

Spouse

How well did you know this?

Not at all

Perfectly

FMP 40-44

rice-rar

Mother/stepmother

How well did you know this?

Not at all

Perfectly

FMP 45-49

rail-rabi

Father, Stepfather

How well did you know this?

Not at all

Perfectly

FMP 50-54

lace-lord

Mother-in-law

How well did you know this?

Not at all

Perfectly

FMP 55-59

lul-lab

Father-in-law

How well did you know this?

Not at all

Perfectly

FMP 60-69

cheese-jab

Other authorized dependents

How well did you know this?

Not at all

Perfectly

FMP 90-95

bus-bell

Beneficiary authorized by statute

How well did you know this?

Not at all

Perfectly

FMP 98

Civilian Emergencies

How well did you know this?

Not at all

Perfectly

FMP 99

All others

How well did you know this?

Not at all

Perfectly

Imprint of privacy act statement is what form #

DD 2005

How well did you know this?

Not at all

Perfectly

Health records are filed according to what system?

Terminal Digit Filing System (TDFS)

How well did you know this?

Not at all

Perfectly

How is the social broken up in the TDFS?

12
34
567-89

How well did you know this?

Not at all

Perfectly

TDFS is divided into how many sections?

100 (00-99)

How well did you know this?

Not at all

Perfectly

Record jacket colors?

Old Guys Yell
Girls Talk
Boys Wander
And Parents Rest

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

How well did you know this?

Not at all

Perfectly

PINK CARD (Charge out form)

NAVMED 6150/7

How well did you know this?

Not at all

Perfectly

Part I

NAVMED 6150

Summary of care (always on top)

How well did you know this?

Not at all

Perfectly

Part I

SF 601

Immunization record

How well did you know this?

Not at all

Perfectly

Part I | NAVMED 6000/2

HIV testing

Part I | DD 771

Eyewear prescription

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

Visual Record

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

Exposure to Ionizing Radiation

Exposure to Ionizing Radiation from Internally Deposited Radionuclide

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

Part I | DD 2215

Reference Audiogram

Part 1 | DD 2216

Hearing conservation data

Part 1 6224/1 (jan nerd/gun)

TB contact converter follow-up

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

Asbestos medical surveillance program

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

Asbestos exposure - initial and periodic medical questionaire

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

Medical Surveillance Questionnaire

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

Record Identifier for Personnel Reliability Program (PRP)

Part 2 | SF 558

Medical Record - Emergency Care and Treatment record of Ambulance Care

Part 2 | SF 513

Medical Record Consultation Sheet

Part 2 DD 2161 (net chat)

Referral for Civilian Medical Care

Part 2 | Top sheet when patient is deceased

Attestation sheet

Part 2 | DD 2064

Certification of Death

Part 2 | SF 503

Autopsy Protocol

Part 2 | SF 523

Authorization of autopsy

Part 2 | SF 523A

Disposition of body

Part 2 | SF 523B

Authorization for Tissue Donation

Inpatient Admission Disposition Record

NAVMED 6300/5

Narrative summary

SF 502

Abbreviated Medical Record

SF 539

Progress Notes

SF 509

Operation Report

SF 516

Anesthesia form?

SF 517

Request for Administration of Anesthesia

SF 522

Prenatal and Pregnancy Civilian Medical Care Notes

SF 233

Patient Evaluation Tag

DD 602

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

Medical & Dental Overseas Screening

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

Report of Suitability for overseas assignment

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

Med Board Report Cover Sheet

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

Med Board Statement of Patient

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

Med Board Certificate

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

Abbreviated Temporary Limited Duty

Part 3 SF 2824C (knife nerd)

Physician Statement for Employee Disability Retirement

Part 3 | SF 47

Physical Fitness Inquiry for Motor Vehicle Operators

Part 3 SF 78 (cuff)

Certificate of Medical Examination

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

Abstract of Service and Medical History

Part 3 | NAVJAG 5800/10

Injury report

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

Exceptional Family Member Program Application

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

Record of Disclosure, Privacy Act 1974

Part 3 | DD 877

Request for medical/dental records

Part 3 | DD 2005

Privacy Act Statement

Part 4 | SF 217

Epilepsy Medical Report

Part 4 | SF 515

Tissue Examination

Part 4 | SF 519A

Radiographic Report

Part 4 | SF 519B

Radiologic Consultation Request/Report

Part 4 | SF 519

Medical Record - Radiographic Reports

Part 4 | SF 518

Blood or Blood Component Transfusion

Part 4 | SF 520

EKG request

Part 4 | SF 524

Radiation Therapy

Part 4 | SF 525

Radiation Therapy Summary

Part 4 | SF 53

Neurological Examination

Part 4 | SF 531

Anatomical Figure

Part 4 | SF 545

Lab Report Display

Part 4 | SF 559

Alergen Extract Prescription new and refill

Part 4 | SF 511

Vital signs record

Part 4 | SF 512

Plotting Chart

Part 4 | SF 512a

Blood pressure plotting chart

What should be done when duplicating part of a record?

Print "DUPLICATE" on the bottom of each form

Protocol for recording anthrax immunizations is outlined in what instruction?

SECNAVINST 6230.4

CH 4 MEDICAL RECORDS Flashcards

(87 cards)