Corpsman Manual Ch 4 Flashcards
Navy and Marine Corps personnel and DoD eligible beneficiaries utilize what U.S. Navy Medical Outpatient and Dental Treatment Record as the official record jacket for the chronological documentation of medical and dental evaluations, care, treatments, and occupatinal health?
NAVMED 6150/21-30
What medical records are used for the documentation of outpatient medical and dental care?
Primary
What is a file of continuous care given to active duty members and documents all outpatient care provided during a member’s career?
HREC
What containes all documents of dental care provided during a member’s career?
DREC
What is a file of continuous care that documents ambulatory treatment recieved by a person other than an active duty person, I.e. retiree and family memebers?
OREC
What is a medical file that documents care provided to a patient assigned to a designated inpatient bed at an MTF or ship?
IREC
Opening a secondary medical record requires the healthcare provider to write a note on the Adult Preventive and Chronic CAre Flow Sheet which is what form in the primary treatment record?
DD form 2766
What record contains excerpts from a patient’s primary record and is kept within the MTF by a treating clinic, service, department, or individual provider for increased access to the information?
Convenience
What records consist of original healthcare documentation withheld from a patients primary HREC or OREC?
Ancillary
The Navy Medical Department uses what system to file health records?
Terminal Digit Filing System (TDFS)
Under the Terminal Digit Filing System, the central files are divided into how many approximately equal sections?
100
What charge out Form Health Record Receipt also known as the pink card, will be used for charge out control of medical records?
NAVMED 6150/7
What charged out from the file should be returned as soon as possible after the patient’s visit, but not more than how many working days?
5
When open-shelf filing is used for records, what may be used in conjunction with the charge out form?
Charge out guide
All records are verified how often by medical and dental personnel having custody of them?
Annually