211-218 Flashcards
Who owns all of the military health records?
US Government.
What system is used to file outpatient records?
Terminal digit filing system.
Using the social security number “20/000–12–3456,” break down the number into the following categories:
1st part tertiary:
12.
Using the social security number “20/000–12–3456,” break down the number into the following categories:
FMP:
20.
Using the social security number “20/000–12–3456,” break down the number into the following categories:
Primary number:
56.
Using the social security number “20/000–12–3456,” break down the number into the following categories:
2nd part tertiary:
000.
Using the social security number “20/000–12–3456,” break down the number into the following categories:
Secondary number:
34.
What type of documentation must be received by the sending MTF before medical records are mailed to another medical facility?
DD Form 2138; DD Form 877; or other legal request.
How are AF Forms 1942 filed, and for how long are they maintained?
Alphabetically; 6 months.
What category of records is inventoried?
Active duty personnel records.
How often are outpatient records inventoried?
Annually.
When are outpatient records for nonmilitary, dependents, and retired military personnel retired?
At the end of each calendar year.
What is used as a pull list to retrieve medical records eligible for retirement?
Records retirement index.
What can happen if the physical records sent to NPRC do not match the records retirement index?
NPRC can return the shipment at MTF expense.
After members’ records are in-processed through the MTF, to whom does the 4A0 charge them out for review?
PCM.
Under a CSS in-processing system, to what type of medical team are active duty members and their family members assigned?
PCO team.
For patients with minor problems requiring less than a 48-hour stay, normal newborn infants or uncomplicated obstetrical deliveries.
A tracer (a locally developed form) and a DD Form2138.
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?
The dependent over the age of 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?
A memorandum from their squadron stating that discharge/separation is pending and their records are needed for the discharge review board toreview.
Where is documentation generated by a canceled admission filed?
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.
Where are APV records filed?
File original documentation on a patient seen during an APV episode in the EAR folder.
What minimum patient identification information is required when filling out inpatient forms?
Patient’s name, register number, FMP, sponsor’s social security number, and name of treating MTF.
When may a final progress note substitute for a narrative summary?
For patients with minor problems requiring less than a 48-hour stay, normal newborn infants or uncomplicated obstetrical deliveries.
When is a narrative summary prepared?
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.
