207-210

Question 1

What is a schedule composed of?

Answer 1

Time slots that have been assigned appropriate appointment types, durations and a maximum number of patients per slot.

Question 2

Name four tasks that can be accomplished once a schedule is created.

Answer 2

Any four of the following:

Copy and/or transfer one schedule to another provider within the same clinic.

Open the schedules for immediate booking, or allow the system to open the schedule at a later date
that you specify.

Reserve the schedule for automatic, interactive, or future Wait List processing.,

Freeze appointment slots from further booking.

Cancel slots with or without booked appointments.

Modify slots within a schedule by changing the appointment type or number of patients allowed per
slot.

Add or delete slots to a schedule.

Question 3

What defines the basic rules and instructions by which the facility, division, clinic and provider will provide care?

Answer 3

A profile.

Question 4

What is a provider template?

Answer 4

A pattern of time slots that is specific to a provider but is not linked to any particular date. It is governed by
the rules entered in the MTF’s profiles. Using options in the Templates MENU, you can create a daily or
weekly template.

Question 5

Once you’ve assigned a specific date range to a template, what have you created?

Answer 5

A schedule.

Question 6

Prior to a schedule being produced what two items must be created?

Answer 6

A profile and a template.

Question 7

After a schedule is created, what three statuses can it be assigned?

Answer 7

(1) Open for booking.
(2) Hold for future booking,,
(3) Reserve for processing Wait List requests.

Question 8

Which CHCS option is used to reserve appointment slots in existing schedules for processing
Wait List requests, or to release them from the Wait List reserved status?

Answer 8

The Wait List Hold/Release Schedules option.

Question 9

List and briefly describe the three actions that can be performed from the Wait List action bar.

Answer 9

(1). Interactive: This action processes Wait List requests manually, notifying the patient either by
telephone that an appointment is available, or by mail that an appointment has been booked,

(2). Automatic Wait List: This action permits the system to process current Wait List requests for the
clinic/provider, book the schedule time slot on the schedule, and automatically generate the
notification mailer.

(3). Quit: The Quit action is selected if the reserved Wait List slots are not to be processed at this time.

Question 10

Using this option, slots will not be displayed
during appointment searches (except in
Browse mode) or on the Provider Schedule
Summary Report.

Answer 10

The Freeze/Release Schedules option.

Question 11

This option allows you to adjust schedule
slots by changing the appointment type or
number of patients per slot and by entering
or editing comments.

Answer 11

The Modify/Add/Delete Schedules option.

Question 12

This option allows you to cancel all or part
of an existing schedule at the request of a
provider or other agency at an MTF.

Answer 12

The Cancellation by Facility option.

Question 13

This option makes it simple for you to add,
delete, cancel, freeze and release schedule
time slots for specific days within any
providers’ schedule.

Answer 13

The Maintain/Cancel Schedules option.

Question 14

This option allows you to copy an existing
schedule to another provider.

Answer 14

The Replicate Schedule option.

Question 15

You have just been asked to make a record jacket for SrA Lynn N. James, 999–99–9972.

SrA James is on active duty in the Air Force and his record is maintained at your current medical facility. What entry would you make in the area marked (1) in figure 1–4?

Answer 15

Lynn N. James.

Question 16

What entry would be appropriate in the area marked (2) in figure 1–4?

Answer 16

999–99–9972.

Question 17

What entry would be appropriate in the area marked (3) in figure 1–4?

Answer 17

20.

Question 18

What entry would be appropriate in the area marked (4) in figure 1–4?

Answer 18

Block the number “2.”

Question 19

What entry would be appropriate in the area marked (6) in figure 1–4?

Answer 19

Enter “AD AF SrA” and block the box on the “military” line.

Question 20

What entry would be appropriate in the area marked (5) in figure 1–4?

Answer 20

Block “S.”

Question 21

What entry would be appropriate in the area marked (7) in figure 1–4?

Answer 21

MTF address.

Question 22

What minimum identification is placed on each document filed in the outpatient record?

Answer 22

Patient’s name, family member prefix, sponsor’s SSN, facility name, and name ofMTF maintaining the
records.

Question 23

What will be placed in the health record in place of the AF Form 1480 or DD Form 2766A?

Answer 23

Copy of the AF Form 1480 or DD Form2766A.

Question 24

What type of documentation is filed in Section 1, AF Form 2100A series health record?

Answer 24

AF Forms 1480/B or DD Forms 2766/C, 2796, 2569, HEAR PCM, result from HEAR, AF Forms 1480,
3922, 3922, and copies of inpatient forms.

Question 25

What forms may be filed in Section 2, AF Form 2100A series health record?

Answer 25

AF Form 745 when applicable;

Question 26

What forms may be filed in Section 4, AF Form 2100A series health record?

Answer 26

Diagnostic test reports such as lab forms, SFs 519B, OFs 520, other diagnostic test reports, and advanced
directives (self-determined acts or livingwills).

Question 27

When should a new health record be created for a patient?

Answer 27

When the existing folder no longer protects the contents of the record.

Question 28

What website can most Air Force, Standard, and Optional Forms be obtained from?

Answer 28

The Air Force e-Publishing website at: http://www.e-publishing.af.mil