HM MAN ch 4: Medical records

Question 1

what are the form numbers for the medical and dental records?

Answer 1

NAVMED 6150/21-30

Question 2

what are the three major categories of primary meical records?

Answer 2

Health records (HREC)
outpatient records (ORECs)
Inpatient records (IRECs)

Question 3

what is the name of the DD 2766?

Answer 3

adult preventive and chronic care flow sheet

Question 4

what are the three secondary medical records?

Answer 4

convenience records
temporary records
ancillary records

Question 5

which secondary medical records is retained in a specialty clinic, service or department?

Answer 5

temporary

Question 6

what are the three things that a temporary dental record must contain?

Answer 6

privacy act statement, DD 2005
Dental Health Questionnaire, NAVMED 6600/3
Dental treatment form, EZ603A

Question 7

what is the name of the DD 2807?

Answer 7

report of medical history

Question 8

what is the form used for the report of medical history?

Answer 8

DD 2807

Question 9

what is the name of the 2808?

Answer 9

report of medical examination

Question 10

what form is used for the report of medical examination?

Answer 10

DD 2808

Question 11

for Navy and Marine Corps service members who were discharged before 31 January 1994 request should be sent to where for record retrieval?

Answer 11

National Personnel records Center (NPRC)

Question 12

for Navy and Marine Corps service members who were discharged after 31 January 1994 request should be sent to where for record retrieval?

Answer 12

Departmen of Veterans Affairs (VA)

Question 13

which FMP is used for Mother, and stepmothers?

Answer 13

40-44

Question 14

Who is the FMP 40-44 used for?

Answer 14

mothers and step mothers

Question 15

which FMP is used for fathers and step fathers?

Answer 15

45-49

Question 16

which FMP is used for mother in laws?

Answer 16

50-54

Question 17

which FMP is used for father in laws?

Answer 17

55-59

Question 18

which FMP is used for other authorized dependents?

Answer 18

60-69

Question 19

which FMP is used for Beneficiary authorized by stature.

Answer 19

90-95

Question 20

which FMP is used for civilian emergencies?

Answer 20

98

Question 21

which FMP is used for all others?

Answer 21

99

Question 22

Who is the FMP 45-49 used for?

Answer 22

fathers and step fathers

Question 23

Who is the FMP 50-54 used for?

Answer 23

mother in laws

Question 24

Who is the FMP 55-59 used for?

Answer 24

father in laws

Question 25

Who is the FMP 60-69 used for?

Answer 25

other authorized dependends

Question 26

Who is the FMP 90-95 used for?

Answer 26

beneficiary authorized by statue

Question 27

Who is the FMP 98 used for?

Answer 27

civilian emergencies

Question 28

Who is the FMP 99 used for?

Answer 28

all others

Question 29

where will flag officers and general officers have their medical records be stamed "FLAG OFFICER" or "GENERAL OFFICER"?

Answer 29

lower portion of the patinet identification box

Question 30

what is the system that navy medical department uses to file health records?

Answer 30

terminal digit filing system

Question 31

which number of the ssn are the primary numbers?

Answer 31

last two

Question 32

which numbers of the ssn are the secondary numbers?

Answer 32

second to last two | 123-45-6789 (67)

Question 33

which numbers of the ssn are the third numbers?

Answer 33

the first five

Question 34

what is the form used as the pink card?

Answer 34

NAVMED 6150/7 | Health Record recipt

Question 35

what four pieces of information must be inclueded on the NAVMED 6150/7?

Answer 35

PTs name (last, first, middle) Sponsor's grade or rate PTs FMP and sponsor's SSN Ship or station

Question 36

what is the NAVMED 6150

Answer 36

Summary of care form | always top form

Question 37

What is the SF 601?

Answer 37

Immunization record

Question 38

What is the NAVMED 6000/2?

Answer 38

Chronological record of HIV testing

Question 39

What is the DD 771

Answer 39

Eyewear prescription

Question 40

What is the NAVMED 6490/1

Answer 40

Visual record

Question 41

What is the NAVMED 6224/1?

Answer 41

TB Contact converter follow up

Question 42

What is the NAVMED 6260/5?

Answer 42

Asbestos medical surveillance program

Question 43

What is the SF 558?

Answer 43

Emergency care and treatment record of ambulance care

Question 44

What is the SF 600

Answer 44

chronological record of medical care

Question 45

What is the SF 513?

Answer 45

consultation sheet

Question 46

What is the DD 2604?

Answer 46

Certificate of death

Question 47

What is the SF 502?

Answer 47

Narrative summary

Question 48

What is the SF 509?

Answer 48

progress note

Question 49

What is the SF 517?

Answer 49

Anesthesia

Question 50

What is the SF 522?

Answer 50

request for administration of anesthesia

Question 51

What is the NAVMED 1300/1?

Answer 51

Overseas screening review for active duty and dependants

Question 52

how often must medical records be verified?

Answer 52

annually

Question 53

what is the NAVMED 6150/4?

Answer 53

Abstract of service and medical history

Question 54

when a member is officially declared a deserter, document the event fact on what three forms?

Answer 54

SF 600 EZ 603A NAVMED 6150/4.

Question 55

when a member is officially declared a deserter, deliver the HREC and DREC to who for inclusion in and tranmittal with the service record?

Answer 55

the member's CO

Question 56

what two things can be noted in the medical alert sectin of a medical record?

Answer 56

allergies | chronic illnesses

Question 57

what is the DD form 1141?

Answer 57

RECORD OF OCCUPATIONAL EXPOSURE TO IONIZING RADIAITION