d. DA Form 2985 (Admission and Coding Information) (see figure 1-3).
(1) Introduction. The admitting clerk next completes the DA Form 2985 using
information from the patient's identification card and from interviewing the patient.
Figure 1-3. DA Form 2985 (Admission and Coding Information).
General instructions for completing DA Form 2985.
(a) The DA Form 2985 (see figure 1-3) serves as both a patient admission
information form and a coding transcript for keypunching. The "Source of Data" referenced
in these instructions refer to either the information obtained from the patient interview,
patient's identification card, or patient's sponsor, etc.