HM MAN ch 4: Medical records Flashcards
what are the form numbers for the medical and dental records?
NAVMED 6150/21-30
what are the three major categories of primary meical records?
Health records (HREC) outpatient records (ORECs) Inpatient records (IRECs)
what is the name of the DD 2766?
adult preventive and chronic care flow sheet
what are the three secondary medical records?
convenience records
temporary records
ancillary records
which secondary medical records is retained in a specialty clinic, service or department?
temporary
what are the three things that a temporary dental record must contain?
privacy act statement, DD 2005
Dental Health Questionnaire, NAVMED 6600/3
Dental treatment form, EZ603A
what is the name of the DD 2807?
report of medical history
what is the form used for the report of medical history?
DD 2807
what is the name of the 2808?
report of medical examination
what form is used for the report of medical examination?
DD 2808
for Navy and Marine Corps service members who were discharged before 31 January 1994 request should be sent to where for record retrieval?
National Personnel records Center (NPRC)
for Navy and Marine Corps service members who were discharged after 31 January 1994 request should be sent to where for record retrieval?
Departmen of Veterans Affairs (VA)
which FMP is used for Mother, and stepmothers?
40-44
Who is the FMP 40-44 used for?
mothers and step mothers
which FMP is used for fathers and step fathers?
45-49
which FMP is used for mother in laws?
50-54
which FMP is used for father in laws?
55-59
which FMP is used for other authorized dependents?
60-69
which FMP is used for Beneficiary authorized by stature.
90-95
which FMP is used for civilian emergencies?
98
which FMP is used for all others?
99
Who is the FMP 45-49 used for?
fathers and step fathers
Who is the FMP 50-54 used for?
mother in laws
Who is the FMP 55-59 used for?
father in laws
Who is the FMP 60-69 used for?
other authorized dependends
Who is the FMP 90-95 used for?
beneficiary authorized by statue
Who is the FMP 98 used for?
civilian emergencies
Who is the FMP 99 used for?
all others
where will flag officers and general officers have their medical records be stamed “FLAG OFFICER” or “GENERAL OFFICER”?
lower portion of the patinet identification box
what is the system that navy medical department uses to file health records?
terminal digit filing system
which number of the ssn are the primary numbers?
last two
which numbers of the ssn are the secondary numbers?
second to last two
123-45-6789 (67)
which numbers of the ssn are the third numbers?
the first five
what is the form used as the pink card?
NAVMED 6150/7
Health Record recipt
what four pieces of information must be inclueded on the NAVMED 6150/7?
PTs name (last, first, middle)
Sponsor’s grade or rate
PTs FMP and sponsor’s SSN
Ship or station
what is the NAVMED 6150
Summary of care form
always top form
What is the SF 601?
Immunization record
What is the NAVMED 6000/2?
Chronological record of HIV testing
What is the DD 771
Eyewear prescription
What is the NAVMED 6490/1
Visual record
What is the NAVMED 6224/1?
TB Contact converter follow up
What is the NAVMED 6260/5?
Asbestos medical surveillance program
What is the SF 558?
Emergency care and treatment record of ambulance care
What is the SF 600
chronological record of medical care
What is the SF 513?
consultation sheet
What is the DD 2604?
Certificate of death
What is the SF 502?
Narrative summary
What is the SF 509?
progress note
What is the SF 517?
Anesthesia
What is the SF 522?
request for administration of anesthesia
What is the NAVMED 1300/1?
Overseas screening review for active duty and dependants
how often must medical records be verified?
annually
what is the NAVMED 6150/4?
Abstract of service and medical history
when a member is officially declared a deserter, document the event fact on what three forms?
SF 600
EZ 603A
NAVMED 6150/4.
when a member is officially declared a deserter, deliver the HREC and DREC to who for inclusion in and tranmittal with the service record?
the member’s CO
what two things can be noted in the medical alert sectin of a medical record?
allergies
chronic illnesses
what is the DD form 1141?
RECORD OF OCCUPATIONAL EXPOSURE TO IONIZING RADIAITION