211-218

Question 1

Who owns all of the military health records?

Answer 1

US Government.

Question 2

What system is used to file outpatient records?

Answer 2

Terminal digit filing system.

Question 3

Using the social security number “20/000–12–3456,” break down the number into the following categories:

1st part tertiary:

Answer 3

12.

Question 4

Using the social security number “20/000–12–3456,” break down the number into the following categories:

FMP:

Answer 4

20.

Question 5

Using the social security number “20/000–12–3456,” break down the number into the following categories:

Primary number:

Answer 5

56.

Question 6

Using the social security number “20/000–12–3456,” break down the number into the following categories:

2nd part tertiary:

Answer 6

000.

Question 7

Using the social security number “20/000–12–3456,” break down the number into the following categories:

Secondary number:

Answer 7

34.

Question 8

What type of documentation must be received by the sending MTF before medical records are mailed to another medical facility?

Answer 8

DD Form 2138; DD Form 877; or other legal request.

Question 9

How are AF Forms 1942 filed, and for how long are they maintained?

Answer 9

Alphabetically; 6 months.

Question 10

What category of records is inventoried?

Answer 10

Active duty personnel records.

Question 11

How often are outpatient records inventoried?

Answer 11

Annually.

Question 12

When are outpatient records for nonmilitary, dependents, and retired military personnel retired?

Answer 12

At the end of each calendar year.

Question 13

What is used as a pull list to retrieve medical records eligible for retirement?

Answer 13

Records retirement index.

Question 14

What can happen if the physical records sent to NPRC do not match the records retirement index?

Answer 14

NPRC can return the shipment at MTF expense.

Question 15

After members’ records are in-processed through the MTF, to whom does the 4A0 charge them out for review?

Answer 15

PCM.

Question 15

Under a CSS in-processing system, to what type of medical team are active duty members and their family members assigned?

Answer 15

PCO team.

Question 16

For patients with minor problems requiring less than a 48-hour stay, normal newborn infants or uncomplicated obstetrical deliveries.

Answer 16

A tracer (a locally developed form) and a DD Form2138.

Question 17

When an active duty member is retiring and has a dependent over the age of 18, who must fill out the DD Form 2138 for the dependent?

Answer 17

The dependent over the age of 18.

Question 18

If an active duty member needs medical records for the discharge review board, but does not have any orders, what must he or she provide before you can release the records?

Answer 18

A memorandum from their squadron stating that discharge/separation is pending and their records are needed for the discharge review board toreview.

Question 19

Where is documentation generated by a canceled admission filed?

Answer 19

Annotate the admission worksheet with the reason for cancellation and place a copy in the outpatient record. File all other paperwork generated by the admission in the inpatient record’s folder.

Question 20

Where are APV records filed?

Answer 20

File original documentation on a patient seen during an APV episode in the EAR folder.

Question 21

What minimum patient identification information is required when filling out inpatient forms?

Answer 21

Patient’s name, register number, FMP, sponsor’s social security number, and name of treating MTF.

Question 22

When may a final progress note substitute for a narrative summary?

Answer 22

For patients with minor problems requiring less than a 48-hour stay, normal newborn infants or uncomplicated obstetrical deliveries.

Question 22

When is a narrative summary prepared?

Answer 22

For patients who die after admission; who are received by transfer for further treatment; and who remained in the hospital as a bed occupant for 8 days or more.

Question 23

Who owns the inpatient records of a family member of a retired Air Force CMSgt?

Answer 23

What is the cutoff date for inpatient record retirement?

Question 24

Who grants the authority to set up or close down an inpatient record library?

Answer 24

Air Force Medical Support Agency (AFMSA/SGOI).

Question 24

Why are inpatient records safeguarded?

Answer 24

To protect against loss, defacement, tampering, or use by unauthorized individuals.

Question 25

What are the responsibilities of an MTF’s medical record review function committee?

Answer 25

For reviewing records to ensure quality, clinical pertinence and the timely completion of records and compliance with AF directives and JCAHO standards.

Question 26

What is the cut off date for inpatient record retirement?

Answer 26

31 December of each year.