Flashcards in Corpsman Manual Ch 4 Deck (33)
Navy and Marine Corps personnel and DoD eligible beneficiaries utilize what U.S. Navy Medical Outpatient and Dental Treatment Record as the official record jacket for the chronological documentation of medical and dental evaluations, care, treatments, and occupatinal health?
What medical records are used for the documentation of outpatient medical and dental care?
What is a file of continuous care given to active duty members and documents all outpatient care provided during a member's career?
What containes all documents of dental care provided during a member's career?
What is a file of continuous care that documents ambulatory treatment recieved by a person other than an active duty person, I.e. retiree and family memebers?
What is a medical file that documents care provided to a patient assigned to a designated inpatient bed at an MTF or ship?
Opening a secondary medical record requires the healthcare provider to write a note on the Adult Preventive and Chronic CAre Flow Sheet which is what form in the primary treatment record?
DD form 2766
What record contains excerpts from a patient's primary record and is kept within the MTF by a treating clinic, service, department, or individual provider for increased access to the information?
What records consist of original healthcare documentation withheld from a patients primary HREC or OREC?
The Navy Medical Department uses what system to file health records?
Terminal Digit Filing System (TDFS)
Under the Terminal Digit Filing System, the central files are divided into how many approximately equal sections?
What charge out Form Health Record Receipt also known as the pink card, will be used for charge out control of medical records?
What charged out from the file should be returned as soon as possible after the patient's visit, but not more than how many working days?
When open-shelf filing is used for records, what may be used in conjunction with the charge out form?
Charge out guide
All records are verified how often by medical and dental personnel having custody of them?
Upon completion of an annual medical record verification, the HM will make an entry on the what for medical records and black-out the corresponding year block on the front leaf of the jacket with a black felt tip pen?
Upon final discharge or death, send the complete and verified health and dental records to the command maintaining the member's service record (no later than how long following separation) for inclusionin and transmittal with the member's service record?
When loose treatment forms are discovered, every effort should be made to determine the present location of the record. If reasonable search efforts do not locate the record, retain loose forms for a period of how long?
Porperly maintained, what form aids healthcare providers by allowing them quick access to pertinent medical factors that may affect how they manage a patient's medical care?
DD Form 2766
The DD Form 2766 is divided into how many pages?
What provides a continuous comprehensive record of a patient's medical history?
What form is routinely used for inpatient admission notes and is filed in the patient's IREC?
When a member of the navl service incurs an injury that might result in permanent disability or results in a physical inability to perform duty for a period exceeding how many hours, an entry will be made concerning line- of - duty misconduct?
The specific protocol for recording anthrax immunizations is outlined in what series?
When recording positive results (how many mm or more induration) of the tuberculin skin test (TST) refer to BUMEDINST 6224.8 series Tuberculosis Control Program, for guidance?
Any immunizations recorded on the PHS-731 should be transcribed onto the what?
DD form 2766
Accoring to international rules, entries on the PHS- 731 require authentication for immunizations against smallpox (if administered), yellow fever, cholera, and what else?
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)?
DD Form 1141
What form is used to summarize clinical data relative to treatment recieved during periods of hospitalization?