THE PROCEDURE WORKSHEET--COMPOSITE HEALTH CARE SYSTEM
a. Composite Health Care System. The Composite Health Care System
(CHCS) is a hospital information system adopted by the tri-services (Army, Navy, and
Air Force) and used to automate the entire realm of patient care and administrative
activities within a medical treatment facility. With this system, an authorized healthcare
provider could order an X-ray exam via a CHCS computer workstation. The receptionist
or technologist in the radiology department could generate an electronic version of the
SF 519-B. The "Procedure Worksheet," as it is also known by, can be uniquely
formatted for the needs of the different modalities within a radiology department (figures
4-15 and 4-16). The Procedure Worksheet has replaced the SF 519-B as the primary
request form for X-ray examinations. The SF 519-B is still used in medical treatment
facilities not equipped with CHCS, medical field units, and as a back-up form.
b. Procedure Worksheet Segments. The three segments that comprise the
procedure worksheet are the patient demographics, a procedure segment, and a work
area segment. The work area segment contains selected work statement fields as
follows: medications, prior surgeries, two pregnancy statements, radiologist plan,
radiopharmaceutical data, lab results, exam comments, film utilization, and technique
c. Patient Demographics. This segment of the worksheet (figure 4-17)
contains patient specific information, such as, the patient's name, family member
prefix/SSN, rank, date of birth, age, gender, and pregnancy status if applicable. In this
area, CHCS also prints a barcode that links this information to the requested exam.
The patient demographics segment will always be printed at the top of the worksheet.
The information fields which will be displayed within this area cannot be changed.