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Corpsman Instructions > BUMEDINST 6110.14 (CHANGE TRANSMITTAL 3) - Documenting and Reporting Individual Medical Readiness Data > Flashcards

BUMEDINST 6110.14 (CHANGE TRANSMITTAL 3) - Documenting and Reporting Individual Medical Readiness Data Flashcards

1
Q

What establishes Navy Medicine policy and procedures for assessing, documenting, and reporting Individual Medical Readiness (IMR) in support of readiness requirements for Active Components (AC) and Reserve Component (RC) service members?

A

BUMEDINST 6110.14 - Documenting and Reporting Individual Medical Readiness Data

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2
Q

Readiness is overall whose responsibility?

A

Commanding Officer

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3
Q

Who actively support line commanders by performing periodic assessments and entering Individual Medical Readiness (IMR) data into approved electronic systems and the health record?

A

Navy Medicine

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4
Q

What is being describe from the following descriptions:

  1. Integral component of force health protection and reflects a Sailor’s or Marine’s ability to deploy rapidly.
  2. Direct indication of a unit’s capability to fulfill its mission.
  3. Benefits the service member and the unit by ensuring protecttion against infectious and endemic diseases, can safely recieve prophylaxis and treatments, have all required medical equipment, and are in a state of dental readiness.
A

Individual Medical Readiness (IMR)

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5
Q

Joint service committee has established requirements for service level tracking nad quarterly reporting of IMR data to the _______ _______ __ _______ (Health Affairs) (ASD(HA)) and also established the minimum standards for overall force medical readiness.

A

Assistant Secretary of Defense (Health Affairs) (ASD(HA))

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6
Q

What are the six elements of Individual Medical Readiness (IMR)?

A
  1. Periodic Health Assessment (PHA)
  2. Dental Readiness
  3. Readiness Lab Studies
  4. Immunizations
  5. Individual Medical Equipment
  6. Deployment Limiting Conditions
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7
Q

What is used to review, identify and correct Individual Medical Readiness (IMR) deficiencies? How often is it conducted?

A

Periodic Health Assessment (PHA)

Annually

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8
Q

During the Periodic Health Assessment, data from what systems will be reviewed, verified, and updated?

A
  • Medical Readiness Reporting System (MRRS)

- Shipboard Non-tactical Automated Data Processing Program (SNAP), Automated Medical System (SAMS)

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9
Q

For whom will the Periodic Health Assessment (PHA) be performed within 30 days of each service member’s birth month and is overdue if not accomplished within 30 days following the birth month?

(Birth month is October. PHA can be completed as early as 1 September and as late as 30 November)

A

Active Components (AC) service members

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10
Q

Who will have the Periodic Health Assessment (PHA) performed based on an annual requirement due date and is considered overdue if not accomplished by the last day of the month one year after the last PHA?

(PHA completed October. Considered overdue on 31 October)

A

Reserve Component (RC) service members

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11
Q

What system will the the Periodic Health Assessment (PHA) clinical note be documented in? (an encounter and readiness module entry)

A

Armed Forces Health Longitudinal Technology Application (AHLTA)

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12
Q

If Armed Forces Health Longitudinal Technology Application (AHLTA) is not available, the PHA clinical note will be documented on what form?

A

NAVMED 6120/4 - PHA

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13
Q

To document PHA visits for tracking purposes, the date must be manually entered in SAMS or MRRS, until the AHLTA Readiness Module allows for electronic transmission of this data. T or F?

A

True

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14
Q

What medical record form will be updated, ellectronically and/or paper health record, upon completion of the PHA?

A

DD Form 2766 - Adult Preventive and Chronic Care Flowsheet

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15
Q

For the IMR report, all personnel will be considered “Indeterminate” ___ year plus ___ month from the last PHA completion date.

A

ONE year; ONE month

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16
Q

Who will ensure the deployment health requirements have been assessed; as well as, assess whether the service member has unresolved deployment-related health concerns or referrals pending for members with adverse signs and symptoms?

A

Provider

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17
Q

Members that have deployed or re-deployed, will be assessed during the PHA to ensure what has been completed from the most recent deployment?

A
  • DD Form 2796, Post Deployment Health Assessment (PDHA)

- DD Form 2900, Post Deployment Health Reassessment (PDHRA)

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18
Q

If it is beyond ___ days since redeployment, it is NOT necessary to complete DD Form 2796 (PDHA), as DD Form 2900 (PDHRA) will sufice.

A

89 days

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19
Q

What Navy program is used to conduct the Post Deployment Health Assessment (PDHA) and the Post Deployment Health Reassessment (PDHRA)?

A

electronic Deployment Health Assessment (eDHA) program

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20
Q

What is the PHA considered as when the required deployment health assessment forms are completed, provider and service member have discussed a plan for any necessary follow up, and required referrals have been entered?

A

Complete

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21
Q

What dental classification is considered worldwide deployable?

A

Dental Class 1 & 2

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22
Q

What dental classification is considered at increased risk to eaxperience a dental emergency and is NOT deployable because dental emergencies during deployment compromise unit combat effectiveness?

A

Dental Class 3 & 4

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23
Q

What type of dental examination is used as a part of the initial dental examination and again at all annual recalls in order to determine a service members dental classification? (documented as part of the PHA)

A

Type 2 dental examination

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24
Q

What form and systems are dental classifications documented on?

A
  • NAVMED 6600/13, Dental (Oral) Examination
  • Dental Common Access System (DENCAS)
  • MRRS
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25
Q

The member’s dental examination remains current for one year and one month following the month of the last Type 2 dental examination. At what month will the member be delinquent for the Type 2 dental examination?

A

the first day of the 14th month

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26
Q

What dental classification are assigned to service members with a current dental examination who do not require dental treatment or re-evaluation and are considered worldwide deployable?

A

Dental Class 1 (Oral Health)

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27
Q

What dental classification are assigned to service members with a current dental examination who require non-urgent dental treatment or re-evaluation for oral conditions that are unlikely to result in dental emergencies within 12 months and are considered worldwide deployable?

A

Dental Class 2

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28
Q

What dental classification are assigned to service members who require urgent or emergent dental treatment and are considered NOT worldwide deployable?

A

Dental Class 3

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29
Q

What dental classification are assigned to service members who require periodic dental examinitaion, have an unknow dental classification, have no dental record, and are considered NOT worldwide deployable?

A

Dental Class 4

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30
Q

What are the basic laboratory studies required for an individual to be deployable?

A
  1. Blood type and Rh factor.
  2. G6PD status.
  3. DNA on file
  4. Human Immunodeficiency Virus (HIV) antibody
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31
Q

What are the test results for G6PD?

A

Normal or deficient

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32
Q

Where must DNA have a verified receipt from?

A

Armed Forces Institute of Pathology repository

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33
Q

Active duty service members shall be tested for HIV how often?

A

Every 2 years

34
Q

When should reservists be tested for HIV?

A

At the time of activation when called to active duty for more than 30 days, and if they have not received a HIV test within the last two years.

35
Q

HIV considered overdue for IMR reporting ___ days after the scheduled due date.

A

30 days

36
Q

Who processes samples submitted for HIV testing?

A

Navy MTF

37
Q

DNA specimens do not require manual entry into MRRS. T or F?

A

True

38
Q

HIV postive service members recieve a clinical evaluation and HIV disease specific laboratory studies how often? Where? Are routine HIV lab testing indicated?

A
  • Twice a year
  • HIV Evaluation and Treatment Unit (HETU)
  • Routine labs are not indicated
39
Q

What surveillance/screening is part of the PHA process and is not required to be tracked separately in IMR?

A

TB Surveillance/Screening and TB skin test

40
Q

All readiness laboratory study results are documented in the health record and what approved electronic system?

If not documented, the readiness laboratory studies will be considered as what on IMR reports?

How is this corrected?

A
  • AHLTA, MRRS, and SAMS
  • Deficient.
  • Review health record and manually enter the studies until electronic capabilities are available
41
Q

During the PHA, what will be updated to ensure all required boosters coming due during the subsequent year are administered?

A

Immunizations

42
Q

Do not administer any portion of an initial immunization series earlier than the perscribed interval. T or F?

A

True

43
Q

Immunizations are considered overdue for IMR reporting on their due date, with the exception of what vaccine?

A

Influenza

44
Q

How are immunitions documented?

A

AHLTA encounter in the AHLTA immunizations module

45
Q

If immunizations are properly entered in the AHLTA immunizations module, they will not be manually entered in what systems?

A

MRRS or SAMS

46
Q

If electronic sources are unavailable, the immunization encounter will be documented on what form?

A

NAVMED 6230/4, Adult Immunization Record

47
Q

Immunizations given at location without AHLTA will enter the data into either ____ or ____ for transmission to the Defense Enrollment Eligibility Reporting System (DEERS).

A

MRRS or SAMS

48
Q

What has the capability that allows alignment of immunizations that appear in the DEERS repository without the need for manual entry?

A

MRRS

49
Q

What option should only be used when it is possible to validate the immunizations with AHLTA, the paper record, or the CDC-731 (International Certificate of Vaccination) or Prophylaxis?

A

Align option

50
Q

What immunization can be used to substitute Hapatitis A and B?

A

TWINRIX

51
Q

What immunizations must service members have to be deployment ready?

A 
Hepatitis A
Hepatitis B
IPV
Tdap
MMR
Annual influenza
52
Q

Tetanus/diphtheria/pertusis (Tdap) is a one time booster between the ages of what years?

A

11-64 years old

53
Q

Influenza is required at the beginning of what date?

It is considered overdue if not administered on what date?

A

1st of September

1st of January

54
Q

Additional immunizations may be required based on what?

A
  • Geographic area of operation(s)
  • Occupational
  • Immediate Superior in Command (ISIC) specific requirements
55
Q

How many pairs of glasses are service members required to have who require vision correction?

A
  • 2 pairs

one frame of choice and one standard issue or personal eyeglasses may be substituted

56
Q

For service members under deployment orders who require corrective lenses will posses gas mask _____ for the model of gas mask in use. Perscriptive _____ for ballistic eyewear will be issued, if required.

A

Inserts

57
Q

What form is used for Medical Warning Tag Order?

A

NAVMED 6150/5

58
Q

All information regarding Individual Medical Equipment will be entered into MRRS or SAMS, until what is available?

A

Armed Forces Health Longitudinal Technology Application (AHLTA)

59
Q

What is defined as medical and dental conditions that would make a member unsuitable to perform their duties in a deployable status?

A

Deployment Limiting Conditions

60
Q

What are the limiting conditions that would prevent a service member from being deployable?

A 
Limited duty (LIMDU)
Medical Evaluation Board (MEB)
Physical evaluation board (PEB)
Pregnant
Postpartum period
61
Q

Service members hospitalized or convalescing from serious illness or injury expected to require greater than 90 days for full recovery shall be placed on what?

A

LIMDU

62
Q

Women in the post-partum period are non-deployable for one year from the date of delivery, but are elligible for voluntary deployment how many months after delivery?

A

6 months

63
Q

Reserve Component (RC) service memberswho are classified as Temporarily Not Physically Qualified (TNPQ), in Medical Retention Review (MRR) status (Navy), Not Physically Qualified status (Marine Corps and Navy), in the Line of Duty (LOD-Navy) or Notice of Eligibility (NOE-Marine Corps) status, and/or Temporarily Not Dentally Qualified (TNDQ) are considered what for deployment?

A

Not medically ready

64
Q

What are the 4 classifications of Individual Medical Readiness?

A
  1. Fully Medically Ready (FMR)
  2. Partially Medically Ready (PMR)
  3. Not Medically Ready (NMR)
  4. Medical Readiness Indeterminate (MRI)
65
Q

What Classification is current in all six elements?

A

Fully Medically Ready (FMR)

66
Q

What Classification is lacking any readiness laboratory studies, immunizations, or medical equipment?

A

Partially Medically Ready (PMR)

67
Q

What Classification is dental class 3 or with a deployment limiting condition?

A

Not Medically Ready (NMR)

68
Q

What Classification if overdue PHA, PDHRA (Navy), or in a dental class 4 status?

A

Medical Readiness Indeterminate (MRI)

69
Q

Whos are responsible for ensuring all IMR medical and dental data is recorded in an approved electronic system for uniformed service members in their service area of responsiblity (AOR) including all new accessions?

A

Commanding Officers of MTFs, OIC, and authorized medical department representatives

70
Q

What are approved sources for the PHA to be documented in?

A
  1. Armed Forces Health Longitudinal Technology Application (AHLTA)
  2. Dental Common Access System (DENCAS)
  3. Shipboard Non-tactical Automated Data Processing Program (SNAP), Automated Medical System (SAMS)
  4. Medical Readiness Reporting System (MRRS)
  5. Members Health Record
71
Q

What system is approved for use in documenting all IMR elements?

A

MRRS

72
Q

What system is approved for shipboard use in documenting all IMR elements and the data must be properly entered when providing IMR support services and submitted to the Navy Medicine On-line (NMO)?

A

Shipboard Non-tactical Automated Data Processing Program (SNAP), Automated Medical System (SAMS)

73
Q

The information from Shipboard Non-tactical Automated Data Processing Program (SNAP), Automated Medical System (SAMS) will be sent to MRRS by the Navy Medicine what?

A

Data Broker

74
Q

What are used for dental readiness data entry?

A

DENCAS and SAMS transmit data to MRRS, all 3 are used.

75
Q

MTF Commanders are prohibited from the use of “homegrown” or locally developed clinical databases for tracking of IMR. T or F?

A

True

76
Q

BUMED Medical Operations (M3/5) submits the DOD IMR reports to the TRICARE Management Activity, Office of the Assistanr Secretary of Defense (Health Affairs) how often?

A

Quarterly

77
Q

Officer of the Chief of Navy Reserve will provide Navy Reserve IMR quarterly reports, Headquarters Marine Corps will provide AC IMR, and Headquarter Marine Forces Reserve will provide RC Marine Corps IMR quarterly reports to who?

A

BUMED Medical Operations (M3/5)

78
Q

What happens when the “yes” option in MRRS reporting is selected in the “excluded” field when preparing reports?

A

Exclude members who fall within specific category, code, or duty status and therefore are not available for the command to correct IMR deficiencies

79
Q

Who is responsible for oversight of all medical readiness and deployment activities from each Navy Medicine region and command? This individual/team will assist those in isolated or unique billets.

A

A trained IMR/MRRSsubject matter expert as the designated person/team leader

80
Q

Navy MTFs will also serve as a resource to Line commands as they gain MRRS access. T or F?

A

True

81
Q

Commanding Officers of MTFs, OICs, and authorized medical department representative will implement the program actions, if not already in place, within how many days of the date of this instruction?

A

60 days

82
Q

What form is the International Certificate of Vaccination? Replaced the PHS-731 (yellow shot card)?

A

CDC-731

Corpsman Instructions (41 decks)

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