1. NAVMED P-117 CHAPTER 16 HM MANUAL CHAPTER 4
Medical Records
NAVMED P-117 CHAPTER 16
HM MANUAL CHAPTER 4

2. 3 MAJOR CATEGORIES HEALTH RECORD OUTPATIENT RECORD INPATIENT RECORD
What is the difference between a HREC and OREC?

3. Secondary Medical Records
Convenience
Temporary
Ancillary

4. Ownership and Custody US Government Commanding Officer
Minimize hand carrying by patient
Unauthorized individuals
CHCS tracking

5. When/Where to open records
HREC
Active enlisted member- medical RTC
Active officer- recruiting command
OREC
1st MTF
IREC
Each admission

6. NAVMED /30

7. NAVMED /30

8. FAMILY MEMBER PREFIX XXXXXXXXXXXXXXXXX Spouse
xxxxxxxxxxxxxxxxxxxxxx Spouse

9. Terminal Digit Filing System
PRIMARY
SECONDARY
THIRD (TERTIARY)

10. Special Categories Flight status Radiation Exposure “FLAG OFFICER”
“GENERAL OFFICER”

11. NAVMED 6150/7 CHARGE OUT FORM HEALTH RECORD RECIEPT “PINK CARD”
USED WHEN COMPUTER
TRACKING SYSTEM IS NOT EMPLOYED

12. NAVMED 6150/20
Summary of Care form
Top form on the left side (side 1)

13. DD 2766 ADULT PREVENTITIVE AND CHRONIC CARE FLOW SHEET 4 Pages
Summary of problems, medications, imms, lab tests, etc.
Updated during each visit, annually, and upon transfer.

14. SF 600/CHRONOLOGICAL RECORD OF MEDICAL CARE
Sick call visit
Injuries
SOAP notes
Record verification
Drug allergies/hypersensitivity
Typed or handwritten

15. DD 877
REQUEST FOR
MEDICAL/DENTAL
RECORDS

16. DD 771 EYEWEAR PRESCRIPTION
3 CARBON COPY
2 PART CARBONLESS
COMPUTER GENERATED
SHOULD BE TYPEWRITTEN
OR COMPUTERIZED WHENEVER
POSSIBLE TO AVOID ERRORS
WHEN CREATING EYEWEAR

17. PHS-731 INTERNATIONAL CERTIFICATES OF VACCINATION
Kept by the individual for independent travel
NOT TO BE FILED IN THE HREC
Authentication stamps YF
Cholera
Smallpox
Anthrax

18. NAVMED 6600/3 DENTAL HEALTH QUESTIONNAIRE

19. MISC FORMS SF 601- IMMUNIZATION RECORD DD 2215- REFERENCE AUDIOGRAM
DD HEARING CONSERVATION DATA
DD REPORT OF MEDICAL HISTORY
DD REPORT OF MED EXAMINATION
SF 519- RADIOGRAPHIC REPORTS
SF 545- LABORATORY REPORT DISPLAY

20. RECORD VERIFICATION ANNUALLY REPORT DETACH PHYSICAL EXAMS
Make a SF 600 entry upon completion
Black out corresponding year block

21. HEALTH RECORD CLOSURE DEATH DISCHARGE RETIREMENT
DISENROLLMENT AS MIDSHIPMAN
INCLUDED FOR TRANSMITTAL WITH MEMBER’S SERVICE RECORD
FREE COPY TO MEMBER BY REQUEST

22. MTF sends copy of HREC to nearest VA for benefit processing
New OREC
Copy of HREC
MTF sends copy of HREC to nearest VA for benefit processing

23. LOST/DESTROYED/ILLEGIBLE
REPLACEMENT
DUPLICATE RECORD

24. Released to their physician if deemed appropriate
PRIVACY ACT 1974
Law relates to release of patient information to themselves or their legal representation
Released to their physician if deemed appropriate
DD 2005

25. Freedom of Information Act
Public access to information
Deceased patients
Fees charged for released copies
SECNAVINST
DON FOIA Program

27. WHAT IS THE DIFFERENCE BETWEEN A HREC AND OREC?

28. What color is my record if the last 4 of SSN is 4662?

29. What is the FMP of my 3rd husband?

30. What is a DD 877?

31. Name 2 ways to indicate a medical record verification has been performed.