NAVEDTRA 14295B CH 4

Question 1

What U.S. Navy Medical Outpatient and Dental Treatment Record do Navy and Marine Corps personnel as well as DoD eligible beneficiaries utilize as their official record jacket for the chronological documentation of medical and dental evaluations, care, treatments and occupational health?

Answer 1

NAVMED 6150/21-30

Question 2

What medical records are used for the documentation of outpatient medical and dental care?

Answer 2

Primary

Question 3

What is a file of continuous care given to active duty members that documents all outpatient care provided during their career?

Answer 3

HREC

Question 4

What contains all the dental care documentation provided during a member’s career?

Answer 4

DREC

Question 5

What file of continuous care documents the ambulatory treatment received by a person other than an active duty person, i.e. retiree and family members?

Answer 5

OREC

Question 6

What medical file documents the care provided to a patient assigned to a designated inpatient bed at an MTF or ship?

Answer 6

IREC

Question 7

Opening a secondary medical record requires the healthcare provider to write a note on what form in the primary treatment record?

Answer 7

DD Form 2766

Question 8

What record contains the excerpts from a patient’s primary record which is kept within the MTF by a treating clinic, service, department, or individual provider for increased access to the information?

Answer 8

Convenience

Question 9

What records consist of original healthcare documentation withheld from a patient’s primary HREC or OREC?

Answer 9

Ancillary

Question 10

What system does the Navy Medical Department use to file health records?

Answer 10

Terminal Digit Filing System (TDFS)

Question 11

Approximately how many equal sections are the central files divided into under the Terminal Digit Filing System?

Answer 11

100

Question 12

Also known as the pink card, what charge out Form Health Record Receipt will be used for the charge out control of medical records?

Answer 12

NAVMED 6150/7

Question 13

Records charged out from the file should be returned within how many working days or as soon as possible after the patient’s visit?

Answer 13

5

Question 14

What may be used in conjunction with the charge out form when open-shelf filing is used for records?

Answer 14

Charge out guide

Question 15

How often are all records verified by medical and dental personnel having custody of them?

Answer 15

Annually

Question 16

What form will the HM make an entry for medical records as well as blacking-out the corresponding year block on the front leaf of the jacket with a black felt-tip pen upon completion of an annual medical record verification?

Answer 16

SF 600

Question 17

Upon final discharge or death the completed and verified health and dental records must be sent to the command maintaining the member’s service record (no later than how many days following separation) for inclusion in and transmittal with the member’s service record?

Answer 17

One day

Question 18

How long should loose forms be retained after reasonable search efforts do not locate the record?

Answer 18

1 year

Question 19

What form aids healthcare providers by allowing them quick access to pertinent medical factors that may affect how they manage a patient’s medical care?

Answer 19

DD Form 2766

Question 20

How many pages is the DD Form 2766 divided into?

Answer 20

4

Question 21

What form provides a continuous comprehensive record of a patient’s medical history?

Answer 21

SF 600

Question 22

What form is routinely used for inpatient admission notes and is filed in the patient’s IREC?

Answer 22

SF 509

Question 23

When a member of the naval service incurs an injury that might result in permanent disability or results in a physical inability to perform duty for a period exceeding how many hours, an entry will be made concerning line-of-duty misconduct?

Answer 23

24

Question 24

In what series is the specific protocol for recording anthrax immunizations outlined in?

Answer 24

SECNAVINST 6230.4

Question 25

Refer to BUMEDINST 6224.8 series Tuberculosis Control Program for guidance when recording positive results (of how many mm or more induration) of the tuberculin skin test (TST)?

Answer 25

10

Question 26

What form should any immunizations recorded on the PHS-731 be transcribed onto?

Answer 26

DD Form 2766

Question 27

According to international rules, entries on the PHS-731 require authentication for immunizations against smallpox (if administered), yellow fever, cholera, and what else?

Answer 27

Anthrax

Question 28

What form is initiated when military personnel are first exposed to ionizing radiation (with the exception of patients incurring such radiation while undergoing diagnostic treatment)?

Answer 28

DD FORM 1141

Question 29

What form is used to summarize clinical data relative to treatment received during periods of hospitalization?

Answer 29

SF 502

Question 30

The SF 539 may be used as a substitute for the narrative summary for those admissions of a minor nature that require less than how many hours of hospitalization?

Answer 30

48

Question 31

What form is used for outpatients who need to be referred to other healthcare providers or specialists, such as gynecologists, internists, optometrists, etc…?

Answer 31

SF 513

Question 32

What form is used to order corrective prescription eyewear?

Answer 32

DD from 771

Question 33

Who is the official responsible for the administration and supervision of the execution of the SECNAVINST 5211.5 series, Department of the Navy Privacy Act Program (PAP), as it pertains to the Health Care Treatment Record System?

Answer 33

Surgeon General of the Navy