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45 Cards in this Set
- Front
- Back
Treatment Record is color coded, based on what number in sponsors SSN?
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Second to last digit
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Identify color of Treatment record based on last four digits of SSN.
2100 |
Orange "0" series
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Identify color of Treatment record based on last four digits of SSN.
2110 |
Green "1" series
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Identify color of Treatment record based on last four digits of SSN.
2120 |
Yellow "2" series
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Identify color of Treatment record based on last four digits of SSN.
2130 |
Gray "3" Series
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Identify color of Treatment record based on last four digits of SSN.
2140 |
Mustard "4" series
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Identify color of Treatment record based on last four digits of SSN.
2150 |
Blue "5" series
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Identify color of Treatment record based on last four digits of SSN.
2160 |
white "6" series
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Identify color of Treatment record based on last four digits of SSN.
2170 |
Brown "7" series
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Identify color of Treatment record based on last four digits of SSN.
2180 |
Pink "8" series
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Identify color of Treatment record based on last four digits of SSN
2190 |
Red "9" series
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Identify the family prefix on the Treatment Record.
"20" |
Sponsor
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Identify the family prefix on the Treatment Record.
"30" |
Spouse
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Identify the family prefix on the Treatment Record.
"31" |
Second Spouse
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Identify the family prefix on the Treatment Record.
"01" |
First Child
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Identify the family prefix on the Treatment Record.
"02" |
Second Child
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The 4 parts of a Health Record are:
"Part 1" |
Preventive Medicine, Occupational Health,
Inpatient documentation |
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The 4 parts of a Health Record are:
"Part 2" |
Medical Care Treatment(e.g. SF600,SF588,SF88,SF507, and SF93)
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The 4 parts of a Health Record are:
"Part 3" |
Physical Qualifications& Profiles
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The 4 parts of a Health Record are:
"part 4" |
Ancillary Studies(e.g X-rays,labs,advanced directives)
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Health Records of the Individual? True/False?
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False, property of the United States Government.
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DD Form 2766 is what in the medical record?
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Record of Ambulatory Care(ex. medical,conditions,allergies,meds,counseling,Hospitalizations)
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SF 601 or DD Form 2766C is what in the medical record?
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Immunization Record
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DD Form 2796 is what in the medical record?
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Post-Deployment Health Assessment
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DD Form 2569 is what in the medical record?
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Third Party Collection Program
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AF form 1480 is what in the medical record?
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Summary of Care
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AF Form 565 is what in the medical record?
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Record of Inpatient Treatment
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SF 502 is what in the medical record?
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Narrative Summary
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SF 509 is what in the medical record?
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Progress Note
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NAVMED 6000/2 is what in the medical record?
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Chronological Record of HIV Testing
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DD Form 2215 is what in the medical record?
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Baseline Audio-gram
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SF 558 is what in the medical record?
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Emergency Care and Treatment
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SF 507 is what in the medical record?
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Medical Record Continuation
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SF 513 is what in the medical record?
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Consultation Sheet(Refer PT to specialist for exam/procedure)
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SF 88 or DD Form 2808 is what in the medical record?
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Report of Medical Examination (completed BY PROVIDER upon entry of military service, special purposes, discharge, retirement)
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SF 93 or DD Form 2807-01 is what in the medical record?
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Report if Medial History (completed BY PATIENT upon entry of military service, discharge, when physical examination required)
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NAVMED 6150/4 is what in the medical record?
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Abstract of Service and Medical History
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OPNAV 5211/9 is what in the medical record?
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Record of Disclosure (As required by Privacy act of 1974)
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DD Form 2005 is what in the medical record?
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Privacy Act Statement Health Care Record (Inform pt of Privacy rights)
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AF Form 348 is what in the medical record?
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Line of Duty Determination
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AF Form 422 is what in the medical record?
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Physical Profile Serial Report
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SF 519 is what in the medical record?
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Radio-logic Consultation Request/Reports
(backing sheet for mounting X-Ray, MRI,CT,SF519A reports) |
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SF 545 is what in the medical record?
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Laboratory Report Display (backing sheet for mounting lab reports)
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DD Form 877 is what in the medical record?
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Request for Medical/Dental Records or Information
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SF 602 is what in the medical record?
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Health Records-Lab Results
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