Term
| What are the two primary medical documentation forms? |
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Definition
- DD Form 689 (sick call slip)
- SF 600 (SOAP Note)
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Term
| What is the purpose of a DD Form 689? |
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Definition
Used for a pt who requests or receives medical or dental evaluation or tx at any Army MTF.
May be used as a means of communication between medical personnel and the pt's commander. |
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Term
| What 3 items must each SF 600 show? |
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Definition
- Date and time of visit
- MTF involved
- Signature of person making entry
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Term
| What form states approved abbreviations? |
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Definition
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Term
| Who has access to a pt's medical record? |
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Definition
- The Patient
- Patient care personnel
- Medical researchers
- Medical educators
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Term
| What are three aspects of disclosing a pt's medical information? |
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Definition
- All requests are done in writing except in emergency situations
- Handled by PATIENT ADMINISTRATOR
- Not provided or handled by the 68w
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Term
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Definition
| Triage is about looking for those signs and symptoms that could lead to serious illness or even death. |
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Term
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Definition
| Means the patient is restricted to their bed, with allowances for necessary travel to the dining facility and latrine. |
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Term
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Definition
| Restriction and rest in the pt's place of domicile and should allow the pt freedom of movement within their living space. |
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Term
| Who decides if a soldier can break their profile? |
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Definition
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