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NDAP NAVDEN 101 Unit 3: Dental Administration > Lesson 3.2: Dental Records > Flashcards

Lesson 3.2: Dental Records Flashcards

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1
Q

NAVMED 6150/21-30

A

Dental Record Jacket (DRJ)

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2
Q

This is a file of continuous care given to active duty, reserve members, and their families

A

NAVMED 6150/21-30 (DRJ)

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3
Q

This contains all documents of dental care provided during a member’s career

A

NAVMED 6150/21-30 (DRJ)

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4
Q

This is a permanent dental record that is the documented history of dental care provided

A

NAVMED 6150/21-30 (DRJ)

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5
Q

How are Dental Records filed

A

By Social Security Numbers

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6
Q

Last number of the Member’s SSN

A

Terminal Digit

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7
Q

TRUE OR FALSE:

Black tape covers the last digit of the Member’s SSN on the right side of the record

A

False

Located on the LEFT side of the record

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8
Q

Color of the Record is determined by what

A

The second to last digit of the Member’s SSN

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9
Q

Record Jacket Color by digit:

0

A

Orange

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10
Q

Record Jacket Color by digit:

1

A

Green

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11
Q

Record Jacket Color by digit:

2

A

Yellow

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12
Q

Record Jacket Color by digit:

3

A

Gray

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13
Q

Record Jacket Color by digit:

4

A

Tan

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14
Q

Record Jacket Color by digit:

5

A

Blue

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15
Q

Record Jacket Color by digit:

6

A

White

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16
Q

Record Jacket Color by digit:

7

A

Almond (Brown)

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17
Q

Record Jacket Color by digit:

8

A

Pink

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18
Q

Record Jacket Color by digit:

9

A

Red

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19
Q

Parts of the Dental Record:

Part I - Inside Front Cover (Bottom to Top)

A
  1. Pencil Entries
  2. Full Mouth Radiographs (FMX) and Panorex (Pano)
  3. Bitewing Radiographs (Mounted)
  4. Unmounted Radiographs
  5. Compact Disc
  6. Charge-Out Form/Health Record Receipt, NAVMED 6150/7
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20
Q

Parts of the Dental Record:

Printed on the inside of the front cover, updated upon check-in and kept up to date

A

Pencil Entries

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21
Q

Parts of the Dental Record:

For periodontal treatment, view unerupted teeth, view jaw relations, and body identification

A

Full Mouth Radiographs (FMX) and Panorex (Pano)

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22
Q

Parts of the Dental Record:

Mounted in chronological order with the patient’s: last name, first name, middle initial, and full SSN

A

Bitewing Radiographs (Mounted)

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23
Q

Parts of the Dental Record:

A copy of all digital radiographs taken; may be recorded on compact for viewing

A

Compact Disc

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24
Q

Parts of the Dental Record:

“Pink Card” for filing system for checked out records

A

Charge-Out Form/Health Record Receipt, NAVMED 6150/7

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25
Q

NAVMED 6150/7

A

Charge-Out Form/Health Record Receipt

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26
Q

“Pink Card”

A

Charge-Out Form/Health Record Receipt, NAVMED 6150/7

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27
Q

Parts of the Dental Record:

Part II - Front of Center Page (Bottom to Top)

A
  1. Privacy Act Statement, DD Form 2005

2. Dental Health Questionnaire (HQR), NAVMED 6600/3

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28
Q

Parts of the Dental Record:

Pre-printed on front of the center page, DTF’s Rights and Obligations

A

Privacy Act Statement DD Form 2005

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29
Q

DD Form 2005

A

Privacy Act Statement

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30
Q

TRUE OR FALSE:

Privacy Act Statement DD Form 2005 is a consent form

A

False

NOT a consent form

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31
Q

Chronological order, recent on top, kept current, updated during each visit, and reviewed by the dentist

A

Dental Health Questionnaire (HQR), NAVMED 6600/3

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32
Q

NAVMED 6600/3

A

Dental Health Questionnaire (HQR)

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33
Q

Parts of the Dental Record:

Part III - Back of Center Page (Bottom to Top)

A
  1. Record of Disclosure

2. Dental Exam Form, NAVMED 6600/13

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34
Q

Parts of the Dental Record:

Pre-printed on back of center page

A

Record of Disclosure

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35
Q

Parts of the Dental Record:
S.O.A.P. (Subjective, Objective, Assessment, Plan) note format - Chronological order, recent on top, kept current, updated during each visit, and reviewed by the dentist

A

Dental Exam Form, NAVMED 6600/13

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36
Q

NAVMED 6600/13

A

Dental Exam Form

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37
Q

Parts of the Dental Record:

Part IV - Inside Back Cover (Bottom to Top)

A
  1. Forensic Examination
  2. Top
  3. Bottom
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38
Q

Parts of the Dental Record:

Pre-printed on back cover; for charting pre-existing conditions prior to entering military service

A

Forensic Examination

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39
Q

Parts of the Dental Record:

Charting of teeth, to include impacted or missing teeth

A

Top

40
Q

Parts of the Dental Record:

Soft tissue conditions, normal and abnormal

A

Bottom

41
Q

NAVMED 6600/14

A

Dental Treatment Form

42
Q

NAVMED 6600/15

A

Current Status Form

43
Q

Dental Treatment Forms:

Top is the treatment recommended and fill out only in

A

Pencil

44
Q

Dental Treatment Forms:

Bottom is the treatment completed and fill out only in

A

Pen

45
Q

NAVMED 6600/12

A

Reserve Dental Assessment and Certification Form

46
Q

NAVPERS 5510/1

A

Record Identifier for Personnel Reliability Program

47
Q

SF 513

A

Clinical Record/Consultation

48
Q

Specialty referrals, medical/dental condition clarification, medical consult, and dental consult

A

Clinical Record/Consultation; SF 513

49
Q

SF 515

A

Tissue Examination

50
Q

Specimen submission, record, and oral tissue example facts

A

Tissue Examination; SF 515

51
Q

SF 522

A

Request for Administration and Performance

52
Q

Operations and other procedures; obtains authorization

A

Request for Administration and Performance; SF 522

53
Q

Form that obtains authorization for General Anesthesia

A

Request for Administration and Performance; SF 522

54
Q

Form that obtains authorization for Intravenous Sedation

A

Request for Administration and Performance; SF 522

55
Q

Form that obtains authorization for Nitrous Oxide Sedation

A

Request for Administration and Performance; SF 522

56
Q

Form that obtains authorization for Other Specific Procedures (EX: Cyst Removal)

A

Request for Administration and Performance; SF 522

57
Q

Form that explains Operation and Other Procedures

A

Request for Administration and Performance; SF 522

58
Q

Form that explains and obtains authorization for the Nature of Treatment

A

Request for Administration and Performance; SF 522

59
Q

Form that explains Risks of the Operation and Other Procedures

A

Request for Administration and Performance; SF 522

60
Q

Form that explains Benefits of the Operation and Other Procedures

A

Request for Administration and Performance; SF 522

61
Q

Form that explains the Anticipated Outcome of the Operation and Other Procedures

A

Request for Administration and Performance; SF 522

62
Q

Form that explain Alternative Treatments

A

Request for Administration and Performance; SF 522

63
Q

DD Form 877

A

Request for Medical/Dental Records

64
Q

Form used to Transfer Medical/Dental Records permanently to another Dental facility and maintained alphabetically

A

Request for Medical/Dental Records; DD Form 877

65
Q

DD Form 2322

A

Dental Laboratory Work Authorization

66
Q

Requests Service and Document responses from Dental Lab

A

Dental Laboratory Work Authorization; DD Form 2322

67
Q

DD Form 2808

A

Report of Medical Examination

68
Q

Active Duty and Reserve Report with 3-page Dental Exam

A

Report of Medical Examination; DD Form 2808

69
Q

Report of Medical Examination:

Dental Information to be noted in Block 43; required for these requests

A
  1. Overseas Duty
  2. Special Duty
  3. Commission Program
70
Q

Report of Medical Examination:

Medical Information is located on what page

A

Page 2

71
Q

Report of Medical Examination:

Dentist Notes are located on what page

A

Page 3

72
Q

NAVMED 6600/6

A

Dental Appointment Card

73
Q

Record of Dental Appointment Information:

Top copy is given to the

A

Patient

74
Q

Record of Dental Appointment Information:

Second copy is given to be

A

Filed in Member’s Record

75
Q

Record of Dental Appointment Information:

Bottom copy is given to

A

The Liasion Coordinator

76
Q

Dental Examinations:
Most extensive and lengthy clinical evaluation. Used in treatment planning for full-mouth reconstruction; determination of the etiology or differential diagnosis of a patient’s chief complaint

A

Comprehensive Dental Examination; Type 1 (T1)

77
Q

Dental Examinations:

Routine, annually and appropriate, treatment plan

A

Periodic Dental Examination; Type 2 (T2)

78
Q

Dental Examinations:

Consultation for staff and residents (diagnostic procedures, consult between staff observation)

A

Other Dental Examination; Type 3 (T3)

79
Q

Dental Examinations:

Least comprehensive, performed by Doctor of Dental Science (DDS) or Registered Dental Hygienist (RDH)

A

Screening Evaluation; Type 4 (T4)

80
Q

Dental Examinations:

Type 1

A

Comprehensive Dental Examination

81
Q

Dental Examinations:

Type 2

A

Periodic Dental Examination

82
Q

Dental Examinations:

Type 3

A

Other Dental Examination

83
Q

Dental Examinations:

Type 4

A

Screening Evaluation

84
Q

Dental exam results; when dental provider determine status and determines the patient’s priority

A

Dental Classifications

85
Q

Dental Classification:

No treatment required

A

Dental Class 1

86
Q

Dental Classification:

Treatment needed and emergency care NOT required within 12 months

A

Dental Class 2

87
Q

Dental Classification:

Treatment needed and emergency care REQUIRED within 12 months

A

Dental Class 3

88
Q

Dental Classification:

Exam required, or unknown classification

A

Dental Class 4

89
Q

Dental Classification:

Which Dental Classes are NON-DEPLOYABLE

A
  1. Dental Class 3

2. Dental Class 4

90
Q

Dental Care Eligibility Requirements and Treatment Priorities:
Members of the uniformed services on active duty

A

Category 1A

91
Q

Dental Care Eligibility Requirements and Treatment Priorities:
Members of a Reserve Component of the Armed Forces and National Guard personnel

A

Category 1B

92
Q

Dental Care Eligibility Requirements and Treatment Priorities:
Family member or active duty members of the uniformed services; family members of persons who died while in such a status: OVERSEAS

A

Category 2

93
Q

Dental Care Eligibility Requirements and Treatment Priorities:
Members of the Senior Reserve Officers’ Training Corps

A

Category 3

94
Q

Dental Care Eligibility Requirements and Treatment Priorities:
Retired members of the uniformed services and their family members (including family members of deceased retired members)

A

Category 4

95
Q

Dental Care Eligibility Requirements and Treatment Priorities:
Civilian employees of the Federal Government

A

Category 5

96
Q

Dental Care Eligibility Requirements and Treatment Priorities:
All others

A

Category 6

NDAP NAVDEN 101 Unit 3: Dental Administration (3 decks)

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